Provider Demographics
NPI:1538681903
Name:AMIREH, ABDALLAH OMAR (MD)
Entity type:Individual
Prefix:
First Name:ABDALLAH
Middle Name:OMAR
Last Name:AMIREH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:105 FAR WEST DR STE 105
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-3514
Mailing Address - Country:US
Mailing Address - Phone:816-271-8182
Mailing Address - Fax:816-271-0818
Practice Address - Street 1:105 FAR WEST DR STE 105
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-3514
Practice Address - Country:US
Practice Address - Phone:816-271-8182
Practice Address - Fax:816-271-0818
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-07
Last Update Date:2024-08-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO20230326132084V0102X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology