Provider Demographics
NPI:1174383442
Name:ALBADAWI, AMER
Entity type:Individual
Prefix:
First Name:AMER
Middle Name:
Last Name:ALBADAWI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16446 WESTKNOLL CV
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-4668
Mailing Address - Country:US
Mailing Address - Phone:314-471-7573
Mailing Address - Fax:
Practice Address - Street 1:16446 WESTKNOLL CV
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-4668
Practice Address - Country:US
Practice Address - Phone:314-471-7573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty