Individual provider · Type 1 NPI

Hadeel Ali Awwad Alzoubi, MD

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1053102491 Active · reactivated Jun 26, 2026

Practice location

1465 South Grand Boulevard, 2nd Floor Glennon Hall, Room 2717
St. Louis, MO 63104-1003

Call (314) 577-5634 Map

Fax (314) 577-5616

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053102491

Hadeel Ali Awwad Alzoubi, MD's National Provider Identifier is 1053102491, issued on May 15, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 26, 2026.