IndividualActive
Abdi Jama
NPI 1154127496 · Anesthesiologist Assistant · Saint Louis, MO
Provider details
- NPI number
- 1154127496
- Entity type
- Individual
- Primary specialty
- Anesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2025022520 (MO)
Practice location
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone: (636) 386-9224
Fax: (636) 386-7679
Mailing address
339 Consort Dr
Ballwin, MO 63011-4439
Registry dates
- Enumerated
- 2025-02-19
- Last updated
- 2025-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.