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ABDO J. FADDOUL, M.D. A PROF CORP
NPI 1134434764
Urology in Roseville, CA

Active since August 06, 2010
2 MEDICAL PLAZA, SUITE 285, ROSEVILLE, CA 95661(916) 786-3100(916) 786-9433 Get Directions Write a Review

NPPES record last updated: August 6, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Abdo J. Faddoul, M.d. A Prof Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABDO J. FADDOUL, M.D. A PROF CORP (NPI 1134434764) is a healthcare organization registered as an urology in Roseville, California and active in the NPI registry since August 2010. The organization lists Abdo Joseph Faddoul, President-owner, as its authorized official.

NPPES Registry Identity

NPI1134434764
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameABDO J. FADDOUL, M.D. A PROF CORP
Location Address2 MEDICAL PLAZA, SUITE 285Roseville, CA 95661
Mailing Address2 Medical Plaza, Suite 285Roseville, CA 95661 · (916) 786-3100 · Fax (916) 786-9433
Phone(916) 786-3100
Fax(916) 786-9433
Organization SubpartNo
Authorized OfficialAbdo Joseph FaddoulPresident-owner · (916) 786-3100
Enumeration DateAugust 6, 2010
✔ NPI 1134434764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CA · A41062
Definition
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.
2 MEDICAL PLAZA, Roseville, CA 95661
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Other Identifiers 2

Medicare UPINA29288
Medicaid00A416020CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ABDO J. FADDOUL M.D.
Urology
2 MEDICAL PLAZA, SUITE 285
ROSEVILLE, CA 95661
Placer County (916) 786-3100
JERMAINE J STUBBLEFIELD PA
Family Medicine
2 MEDICAL PLAZA, SUITE 130
ROSEVILLE, CA 95661
Placer County (916) 797-4725
JOHN MACRI M.D.
Otolaryngology
2 MEDICAL PLAZA, STE 235
ROSEVILLE, CA 95661
Placer County (916) 782-1291

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abdo J. Faddoul, M.D. A Prof Corp's NPI number?

The NPI number for Abdo J. Faddoul, M.D. A Prof Corp is 1134434764. It was assigned to this organization in the NPPES registry on August 6, 2010.

Where is Abdo J. Faddoul, M.D. A Prof Corp located?

Abdo J. Faddoul, M.D. A Prof Corp is located at 2 Medical Plaza Suite 285, Roseville, CA 95661. The listed phone number is (916) 786-3100.

What is Abdo J. Faddoul, M.D. A Prof Corp's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Abdo J. Faddoul, M.D. A Prof Corp was last updated on August 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.