Provider Demographics
NPI:1407588080
Name:JALLOH, DARRIN ABRAHAM (MD)
Entity type:Individual
Prefix:DR
First Name:DARRIN
Middle Name:ABRAHAM
Last Name:JALLOH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 959354
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63195-9354
Mailing Address - Country:US
Mailing Address - Phone:314-525-0490
Mailing Address - Fax:314-525-0434
Practice Address - Street 1:3844 S LINDBERGH BLVD STE 120
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63127-1369
Practice Address - Country:US
Practice Address - Phone:314-525-0490
Practice Address - Fax:314-525-0434
Is Sole Proprietor?:No
Enumeration Date:2022-06-30
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125081035207R00000X
IL125081305207R00000X
MO2025030835207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine