IZRAIL ABDURAKHMANOV (NPI# 1023638020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023638020 |
| Entity Type | Individual |
| Full Name | IZRAIL ABDURAKHMANOV |
| Credential | MD |
| Practice Address |
1501 Kings Highway Psychiatry Shreveport LA 71130-3932 |
| Practice Telephone | 3186262445 |
| Mailing Telephone | 3186262445 |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1501 KINGS HIGHWAY PSYCHIATRY |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71130-3932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790720738 | Louisina State University Health Sciences Center | Neurological Surgery | 1501 Kings Highway, Lsuhsc-s, Shreveport, LA 71103-4228 | 2006-06-16 |
| 1609496439 | Nicolas Abraham Zaunbrecher | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2020-04-22 |
| 1619597432 | Ghanshyam R. Mudigonda | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2020-04-22 |
| 1528688348 | Audrey Netzel | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2020-04-22 |
| 1629698444 | Ammad Khan | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2020-04-22 |
| 1265052088 | James Mccarty | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2020-04-22 |
| 1831719848 | Patrick Connor | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2020-04-20 |
| 1952921959 | Tanner Hegefeld | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Psychiatry, Shreveport, LA 71130-3932 | 2020-04-20 |
| 1881214815 | Justin Harrell | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2020-04-20 |
| 1720608730 | Hamzah Abduljabar | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2020-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003444316 | Aya Mouhaffel | Student in an Organized Health Care Education/Training Program | 1501 King Hwy, Anesethesiology, Shreveport, LA 71130 | 2020-03-31 |
| 1689144461 | John W Ratliff | Student in an Organized Health Care Education/Training Program | Ochsner, 1501, Shreveport, LA 71130 | 2018-12-05 |
| 1790284016 | Alex Michael Fuselier | Student in an Organized Health Care Education/Training Program | Urology, 1501 Kings Highway, Shreveport, LA 71130 | 2018-02-02 |
| 1265096390 | Thomas G. Block IIi | Student in an Organized Health Care Education/Training Program | Internal Medicine, 1501 Kings Highway, Shreveport, LA 71130 | 2019-04-24 |
| 1669036794 | Udhayvir Singh Grewal | Student in an Organized Health Care Education/Training Program | Internal Medicine, 1501 Kings Highway, Shreveport, LA 71130 | 2019-04-24 |
| 1285190843 | Adekola Adedeji | Student in an Organized Health Care Education/Training Program | Ochsner Health System, 1501 Kings Highway, Shreveport, LA 71130 | 2019-02-19 |
| 1386100949 | Samantha N. Hirt | Student in an Organized Health Care Education/Training Program | Ochsner Health System, 1501 Kings Highway, Shreveport, LA 71130 | 2019-02-19 |
| 1053893487 | Brittney Gillyard | Nurse Practitioner | 1541 Kings Hwy, Shreveport, LA 71130 | 2018-09-01 |
| 1275890436 | Mark Douglas Porta Jr. | Internal Medicine | 1501 Kings Hwy, Lsuhsc Dept. of Gastroenterology, Shreveport, LA 71130 | 2012-04-12 |
| 1700072618 | Kashif Jameel Khan | Internal Medicine | 1501 Kings Hwy, Lsuhsc Dept. of Gastroenterology, Shreveport, LA 71130 | 2007-09-25 |
| Find all providers in zip 71130 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295344851 | Kavina Kamlesh Jani | Student in an Organized Health Care Education/Training Program | 2854 Long Lake Dr, Shreveport, LA 71106-8422 | 2020-07-29 |
| 1003444316 | Aya Mouhaffel | Student in an Organized Health Care Education/Training Program | 1501 King Hwy, Anesethesiology, Shreveport, LA 71130 | 2020-03-31 |
| 1538797410 | John Logan Sobiesk | Student in an Organized Health Care Education/Training Program | 534 Unadilla St, Shreveport, LA 71106-1240 | 2020-03-27 |
| 1679101638 | Brelynn Dianne Witty | Student in an Organized Health Care Education/Training Program | 629 Mccormick St, Shreveport, LA 71104-4905 | 2020-03-27 |
| 1801423751 | Darius Joseph Robinson | Student in an Organized Health Care Education/Training Program | 649 Rutherford St, Shreveport, LA 71104-4333 | 2020-03-23 |
| 1306308176 | Kabir Kashif Husain | Student in an Organized Health Care Education/Training Program | 1501 King Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2019-04-02 |
| 1871052209 | Harrison William Torres | Student in an Organized Health Care Education/Training Program | Ochsner Lsuhsc, Urology - 1501 Kings Highway, Shreveport, LA 71130-3932 | 2019-03-15 |
| 1689144461 | John W Ratliff | Student in an Organized Health Care Education/Training Program | Ochsner, 1501, Shreveport, LA 71130 | 2018-12-05 |
| 1942707096 | Nicholas Lyons Gilbert | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy # Surgery, Shreveport, LA 71103-4228 | 2018-04-06 |
| 1801390372 | Matthew Taylor Burger | Student in an Organized Health Care Education/Training Program | 3455 Johnette St, Shreveport, LA 71105-2027 | 2018-03-20 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71130 |
Please comment or provide details below to improve the information on IZRAIL ABDURAKHMANOV.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.