Individual
RONY M ABOU-JAWDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
902 NO RIVERSIDE RD, SUITE 200, ST JOSEPH, MO 64507-2559
(816) 271-1301
(816) 271-1302
Mailing address
902 NO RIVERSIDE RD, SUITE 200, ST JOSEPH, MO 64507-2559
(816) 271-1301
(816) 271-1302
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
2005028540
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548226541
—
MO
05
—
2004104450B
—
KS
01
—
P00859655
RR MEDICARE
MO
Enumeration date
04/26/2006
Last updated
08/22/2017
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