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Abdallah Ahmad Ali Alqudah

Radiology

Allopathic & Osteopathic Physicians

One Hospital Dr, Columbia, MO 65212-0001

PECOS Enrollment

This provider is enrolled in PECOS as ABDALLAH ALQUDAH.

Based on the most recent information from CMS, provider Abdallah Ahmad Ali Alqudah is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1699445536
Provider Type
Individual
Full Name
Alqudah, Abdallah Ahmad Ali
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
9/13/2021
Last Updated
5/14/2025

Contact Information

Practice Location

One Hospital Dr, Columbia, MO 65212-0001

(573) 884-7770

(573) 882-9876

Mailing Location

PO Box 843966, Kansas City, MO 64184-3966

(573) 884-3300

(573) 884-0943

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 2025013238 Missouri

Abdallah Ahmad Ali Alqudah

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Hexem, Eric Gregory

Lage, Kraig Jason

Kumar, Pragati

Pederson, Alex Loiland

Altes, Talissa Ann

Amor, Maamoon Moatasim

Frederick, Benjamin Keith

Hamid, Aws S

Ahsan, Humera

Morrell, Joshua