Provider Demographics
NPI:1679591572
Name:ABDEL-HAMID, KHALED MOHAMMED (MD)
Entity Type:Individual
Prefix:DR
First Name:KHALED
Middle Name:MOHAMMED
Last Name:ABDEL-HAMID
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 60352
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63160-0352
Mailing Address - Country:US
Mailing Address - Phone:314-996-8670
Mailing Address - Fax:314-454-5140
Practice Address - Street 1:1110 HIGHLANDS PLAZA DR E
Practice Address - Street 2:DIV IM ALLERGY AND IMMUNOLOGY, STE 300
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1392
Practice Address - Country:US
Practice Address - Phone:314-996-8670
Practice Address - Fax:314-454-5140
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2000170148207R00000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO205199102Medicaid