Abdalla, Yazan A

Abdalla, Yazan A is an individual health care provider with primary practice located at 10012 Kennerly Rd Suite 404, Saint Louis MO 63128-2197. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Abdalla, Yazan A can be contacted via phone (314) 543-5911.

Contact Information

Primary practice address
10012 Kennerly Rd Suite 404 Saint Louis MO 63128-2197
Phone: (314) 543-5911
Fax: (314) 543-5914
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2007016056 Missouri
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2011014220 Missouri

Profile Details

NPI number 1033365358
LBN Legal business name Abdalla, Yazan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2008
Last updated Mar 14th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033365358 NPPES
Missouri Other 156440048 MEDICARE PTAN #

Popular Providers