ABDO J. FADDOUL M.D. – 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.

ABDO FADDOUL is an urologist located in ROSEVILLE, CA. NPPES has assigned the NPI number 1194717066 to ABDO FADDOUL on August 17, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 16 years ago on Aug 23, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ABDO FADDOUL below.

NPI Profile for
ABDO J. FADDOUL

NPI Number
1194717066
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ABDO J. FADDOUL
Credentials
M.D.
Primary location
2 MEDICAL PLAZA
SUITE 285
ROSEVILLE, CA 95661
Phone: (916) 786-3100 Fax: (916) 786-9433
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for ABDO FADDOUL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00A416020
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)
CA A41062

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.