Healthcare Provider Details

I. General information

NPI: 1043160781
Provider Name (Legal Business Name): MAHMOUD YOUNIS ARABYAT MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2026
Last Update Date: 02/02/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 S. GRAND BLVD.
SAINT LOUIS MO
63104
US

IV. Provider business mailing address

1008 S SPRING AVE SECOND FLOOR, THE DEVISION OF NEPHROLOGY
SAINT LOUIS MO
63110
US

V. Phone/Fax

Practice location:
  • Phone: 314-257-8000
  • Fax:
Mailing address:
  • Phone: 314-617-3255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number2025044684
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: