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Individual

DR. FADEE ABU AL RUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
CENTER FOR SPECIALIZED MEDICINE, 1225 S GRAND BLVD., ST. LOUIS, MO 63104
(314) 257-3760
Mailing address
CENTER FOR SPECIALIZED MEDICINE, 1225 S GRAND BLVD., ST. LOUIS, MO 63104
(314) 257-3760

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2013042711
MO
208M00000X
Hospitalist Physician
036139742
IL
208M00000X
Hospitalist Physician
2013042711
MO

Other

Enumeration date
05/17/2007
Last updated
03/31/2021
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