Individual
MOHAMMAD WALID ABUZEINEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL DRIVE DEPARTMENT OF NEPHROLOGY, COLUMBIA, MO 65211-0001
(573) 884-0769
Mailing address
820 S WOOD ST # MC793, CHICAGO, IL 60612-4325
(312) 355-2072
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036165674
IL
207RN0300X
Nephrology Physician
Primary
036-165674
IL
207RN0300X
Nephrology Physician
2017036926
MO
Other
Enumeration date
12/11/2017
Last updated
03/28/2025
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