Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 2000170148 | MO |
N | 207R00000X | Internist | 2000170148 | MO |
N | 111NI0900X | Internist | 2000170148 | MO |
NPI | 1679591572 |
---|---|
Provider Name | Dr. Khaled M Abdel-Hamid |
First Address | Saint Peters, MO 63376-6436 |
Second Address | Saint Peters, MO 63376-6436 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 03/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H31644 | (02) | MO |