Provider Demographics
NPI:1447237904
Name:TAUK, NABIL H (MD)
Entity Type:Individual
Prefix:DR
First Name:NABIL
Middle Name:H
Last Name:TAUK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10004 KENNERLY RD
Mailing Address - Street 2:SUITE 103A
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-2141
Mailing Address - Country:US
Mailing Address - Phone:314-543-5235
Mailing Address - Fax:314-543-5216
Practice Address - Street 1:10004 KENNERLY RD
Practice Address - Street 2:SUITE 103A
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128-2141
Practice Address - Country:US
Practice Address - Phone:314-543-5235
Practice Address - Fax:314-543-5216
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2008-03-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MOR7A06207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO201340239Medicaid
MO000095504Medicare PIN