Provider Demographics
NPI:1790280683
Name:ABADIN, ANDRE ARMANDO (DO)
Entity type:Individual
Prefix:
First Name:ANDRE
Middle Name:ARMANDO
Last Name:ABADIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIT 30401
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09154-0401
Mailing Address - Country:US
Mailing Address - Phone:314-590-1775
Mailing Address - Fax:
Practice Address - Street 1:UNIT 30401
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09154-0401
Practice Address - Country:US
Practice Address - Phone:314-590-1775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-24
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLUO6061207Q00000X
WAOP61148436207QS0010X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine