Individual
DANIEL ABODEELY
Active
Individual
DANIEL ABODEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34620
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010593
ESSENCE
MO
01
—
144352
BCBS
MO
01
—
1600797
UHC
MO
05
—
200258010
—
MO
01
—
206589
HEALTHLINK
MO
01
—
5206V34311
HEALTHCARE USA
MO
01
—
5872678
AETNA
MO
01
—
65413
GHP
MO
01
—
A12785
MERCY MC PL
MO
Enumeration date
11/04/2005
Last updated
01/21/2010
Update your record
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