Provider Demographics
NPI:1902467897
Name:ABDELGYED, EHAB ABDALLAH EMBABY (MBBCH)
Entity type:Individual
Prefix:DR
First Name:EHAB
Middle Name:ABDALLAH EMBABY
Last Name:ABDELGYED
Suffix:
Gender:M
Credentials:MBBCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 MERCY WAY STE 420
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-4524
Mailing Address - Country:US
Mailing Address - Phone:417-556-3130
Mailing Address - Fax:417-556-3131
Practice Address - Street 1:100 MERCY WAY STE 420
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-4524
Practice Address - Country:US
Practice Address - Phone:417-556-3130
Practice Address - Fax:417-556-3131
Is Sole Proprietor?:No
Enumeration Date:2019-06-22
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-49471207RE0101X
MO2023044753207RE0101X
NY64116390200000X
OH57.252146207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program