Karam Abdelmasih, MD, AP

Individual provider Active NPI Family Medicine Physician · Festus, MO

NPI 1093288508 · NPPES record last updated Sep 7, 2023

Key facts

NPI
1093288508
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
2018039117 (MO)
Practice address
1153 E Gannon Dr
Festus, MO 63028-2611
Phone
(636) 282-0380
NPI assigned
Jan 8, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Level 4 Medical Professional Corporation Past
since Mar 18, 2010
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2018039117 MO Yes

Addresses

Primary practice location

1153 E Gannon Dr
Festus, MO 63028-2611

Mailing address

1153 E Gannon Dr
Festus, MO 63028-2611
Phone (636) 282-0380

Other providers in Festus, MO

All providers in Festus, MO · Family Medicine Physician in Missouri

Sources for this page

Verify at the official NPI Registry.