Individual provider · Type 1 NPI

Amr Bassam Asad Abdallah, MD

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

NPI number 1376476986 Active

Practice location

1465 S Grand Blvd
St. Louis, MO 63104

Call (314) 577-5600 Map

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 1376476986

Amr Bassam Asad Abdallah, MD's National Provider Identifier is 1376476986, issued on Jun 4, 2026. 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 4, 2026.