Healthcare Provider Details

I. General information

NPI: 1811958689
Provider Name (Legal Business Name): YOUSSEF NMI ABDULNABI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10012 KENNERLY RD SUITE #301
SAINT LOUIS MO
63128
US

IV. Provider business mailing address

10012 KENNERLY RD #301
SAINT LOUIS MO
63128
US

V. Phone/Fax

Practice location:
  • Phone: 314-729-0088
  • Fax: 314-729-3963
Mailing address:
  • Phone: 314-729-0088
  • Fax: 314-729-3963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberWV19987
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number2009014851
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number036-123864
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: