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NPI Code Detail

MEDICARE: DANIEL ABODEELY M.D.

MEDICARE:   DANIEL  ABODEELY  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician34620MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1206589OTHERMOHEALTHLINK
25872678OTHERMOAETNA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
41600797OTHERMOUHC
5000000010593OTHERMOESSENCE
665413OTHERMOGHP
7144352OTHERMOBCBS
85206V34311OTHERMOHEALTHCARE USA
9A12785OTHERMOMERCY MC PL

General Provider Information

NPI Number : 1578554762
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL ABODEELY M.D.
Provider Business Mailing Address
First Line : PO BOX 23340
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63156-3340
Country : US
Telephone Number : 314-984-8827
Fax Number : 314-984-0736
Provider Business Practice Location Address
First Line : 9930 WATSON RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63126-1827
Country : US
Telephone Number : 314-984-8827
Fax Number : 314-984-0736
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2005
Last Update Date : 01/21/2010

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Directions to “ DANIEL ABODEELY M.D.” Practice Location

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