Organization Active NPI

Z. a. Dalu M.D.,Inc

  • Primary Care Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1124293790
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
R6714 Issued in MO
Legal business name
Z. A. DALU M.D.,INC
Practice address
6744 Clayton Rd Ste 305
Saint Louis, MO 63117-1639
Phone
(314) 647-5754
Fax
(314) 647-1297
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mohammed Ziad Abudalu, M.D
Title
Director
Phone
(314) 647-5754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X R6714 MO Primary

Addresses

Primary practice location

6744 Clayton Rd Ste 305
Saint Louis, MO 63117-1639

Mailing address

6744 Clayton Rd Ste 305
Saint Louis, MO 63117-1639
Phone (314) 647-5754

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1124293790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6744 CLAYTON RD STE 305",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171639",
            "telephone_number": "314-647-5754",
            "fax_number": "314-647-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6744 CLAYTON RD STE 305",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171639",
            "telephone_number": "314-647-5754",
            "fax_number": "314-647-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Z. A. DALU M.D.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "ABUDALU",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "ZIAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-647-5754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "R6714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.