MR. ABDO J. FADDOUL M.D.
NPI 1194717066
Urology in Roseville, CA

Q: What is Abdo Faddoul's NPI number?

The NPI number for Abdo Faddoul is 1194717066. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Q: What is Abdo Faddoul's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Abdo Faddoul was last updated on August 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since August 17, 2005

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

NPPES record last updated: August 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Abdo J. Faddoul M.d. NPPES

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

MR. ABDO J. FADDOUL M.D. (NPI 1194717066) is an individual urology provider in Roseville, California, licensed in California (A41062) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1194717066

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameMR. ABDO J. FADDOULCredential: M.D.

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

Sole ProprietorNo

Enumeration DateAugust 17, 2005

Last NPPES UpdateAugust 23, 2010

✔ NPI 1194717066 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

Open in Google Maps ↗

Other Identifiers 3

Medicaid00A416020CA

Medicare UPINA29288

Medicare ID-Type Unspecified00A410620

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.

ABDO J. FADDOUL, M.D. A PROF CORP

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 Faddoul's NPI number?

The NPI number for Abdo Faddoul is 1194717066. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Abdo Faddoul located?

Abdo Faddoul practices at 2 Medical Plaza Suite 285, Roseville, CA 95661. The listed phone number is (916) 786-3100.

What is Abdo Faddoul'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 Faddoul was last updated on August 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.