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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 Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for ABDO J FADDOUL · (Male)

NPI # 1194717066
Status Active
Credentials MD
Entity Individual
Enumeration date 08/17/2005
Last updated 08/23/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A41062
  • CA Medicaid 00A416020
Hospital affiliation(s) Not Available
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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