National Provider Identifier Database

ABDO J FADDOUL, MD – NPI #1194717066
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

ABDO J FADDOUL, MD
2 MEDICAL PLAZA
SUITE 285
ROSEVILLE, CA95661
Phone: 916-786-3100
Fax: 916-786-9433
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for ABDO J FADDOUL

NPI Number 1194717066
Credentials MD
Entity Individual
Enumeration date 08/17/2005
Last updated 08/23/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • CA License #: A41062
  • CA Medicaid: 00A416020
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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