ABDO J. FADDOUL M.D. A PROF CORP NPI 1134434764

NPI Information

  • NPI: 1134434764
  • Provider Name: ABDO J. FADDOUL, M.D. A PROF CORP
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 2 MEDICAL PLAZA
    SUITE 285
    ROSEVILLE, CA
    ZIP 95661
  • Phone: (916) 786-3100

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NPI Details

ABDO J. FADDOUL, M.D. A PROF CORP is an urology in Roseville, CA. The provider is 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. ABDO J. FADDOUL, M.D. A PROF CORP NPI is 1134434764. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2 MEDICAL PLAZA
SUITE 285
ROSEVILLE, CA
ZIP 95661
Phone: (916) 786-3100
Fax: (916) 786-9433

The provider's authorized official is Abdo Joseph Faddoul .
The authorized official title is President-owner and has the following contact phone number (916) 786-3100.

The enumeration date for this NPI number is 8/6/2010 and was last updated on 8/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyA41062CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A29288MEDICARE UPIN
200A416020MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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