Gaddor, Moataz M

Gaddor, Moataz M is an individual health care provider with primary practice located at 222 S Woods Mill Rd , Chesterfield MO 63017-3625. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Gaddor, Moataz M can be contacted via phone (314) 205-6050.

Contact Information

Primary practice address
222 S Woods Mill Rd Chesterfield MO 63017-3625
Phone: (314) 205-6050
Fax: (314) 434-5939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2012017419 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036153985 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036153985 Illinois
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 036153985 Illinois
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036153985 Illinois

Profile Details

NPI number 1255694600
LBN Legal business name Gaddor, Moataz M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2012
Last updated Sep 22nd, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255694600 NPPES
Wisconsin MEDICAID 1255694600

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