Provider Demographics
NPI:1487032421
Name:AL-DABBAS, MA'EN NAYEF (MD)
Entity Type:Individual
Prefix:DR
First Name:MA'EN
Middle Name:NAYEF
Last Name:AL-DABBAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:MAEN
Other - Middle Name:
Other - Last Name:AL-DABBAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1239
Mailing Address - Street 2:
Mailing Address - City:HANNIBAL
Mailing Address - State:MO
Mailing Address - Zip Code:63401-1239
Mailing Address - Country:US
Mailing Address - Phone:573-629-3400
Mailing Address - Fax:573-629-3314
Practice Address - Street 1:6500 HOSPITAL DRIVE
Practice Address - Street 2:
Practice Address - City:HANNIBAL
Practice Address - State:MO
Practice Address - Zip Code:63401
Practice Address - Country:US
Practice Address - Phone:573-629-3400
Practice Address - Fax:573-629-3314
Is Sole Proprietor?:No
Enumeration Date:2015-05-11
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021045042207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine