SEYED POUYAN JALALI (NPI# 1043578289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043578289 |
| Entity Type | Individual |
| Full Name | SEYED POUYAN JALALI |
| Credential | M.D |
| Practice Address |
2401 S 31st St Temple TX 76508 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 2547242111 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2020-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
S1615 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 East 233rd Street, Montefiore Medical Center North Division, Bronx, NY 10466 | 8583493159 |
| Street Address |
2401 S 31ST ST |
| City | TEMPLE |
| State | TX |
| Zip Code | 76508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487650651 | Kathleen G Halka | Internal Medicine | 2401 S 31st St, Temple, TX 76508 | 2005-06-22 |
| 1720689060 | Christy Evans | Pharmacist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-11-03 |
| 1588264683 | Giuseppe Tavilla | Surgery | 2401 S 31st St, Temple, TX 76508-0001 | 2020-10-28 |
| 1942809884 | Crystal Das | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Temple, TX 76508-0001 | 2020-10-21 |
| 1730795766 | Joshua R Ledezma | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-09-15 |
| 1437762069 | Caroline Stanley | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-08-24 |
| 1841809191 | Deanette James | Registered Nurse | 2401 S 31st St, Temple, TX 76508-0001 | 2020-07-23 |
| 1285259309 | Amanda Lea Johnson | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-06-15 |
| 1013539758 | Brittany Ellis | Physical Therapist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-05-15 |
| 1114549508 | Matthew Marvin Galland | Pharmacist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619596491 | Samuel Adrian Matthys | Student in an Organized Health Care Education/Training Program | 2401 South 31st St, Ms-ag-407q, Temple, TX 76508 | 2020-04-13 |
| 1700414968 | Darshan Patel | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-ck-300-kessiah Foster, Temple, TX 76508 | 2020-03-31 |
| 1992332134 | Kiersi Harmon | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street Ms-ag-303h, Baylor Scott & White Medical Center-temple, Temple, TX 76508 | 2020-03-26 |
| 1053948851 | Christian Beltran | Student in an Organized Health Care Education/Training Program | 2410 South 31st Street, Ms 01 161b, Temple, TX 76508 | 2020-03-24 |
| 1790311850 | Chinyere Ashley Onyirimba | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center - Temple, 2401 South 31st Street, Ms-ag-303h, Temple, TX 76508 | 2020-03-19 |
| 1578022398 | Kedric Glenn | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-11-ag062, Temple, TX 76508 | 2019-03-19 |
| 1518426592 | Muhammad Imran Bhatti | Student in an Organized Health Care Education/Training Program | Baylor Scott and White Medical Center-temple 2401, South 31st Street Ms-01-161b, Temple, TX 76508 | 2019-03-18 |
| 1780143883 | Nathaniel Clayton Palmer | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-s2-663 Temple, Texas 76508, Temple, TX 76508 | 2019-03-18 |
| 1235620741 | Fahmida Musharof | Student in an Organized Health Care Education/Training Program | 2401 S 31st Street, Ms-ck-300, Temple, TX 76508 | 2018-05-21 |
| 1275038325 | Robert Casey Alan Finch | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Ms-ck-300, Temple, TX 76508 | 2018-03-29 |
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| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316070576 | Batool Fuad Kirmani | Psychiatry & Neurology | 2401 South 31st St, Temple, TX 76508 | 2007-03-14 |
| 1508873159 | Bryan T Woods | Psychiatry & Neurology | Vamc 1901 S. 1st Street, Temple, TX 76504 | 2006-08-02 |
| 1447241781 | Kenneth Wayne Moss | Psychiatry & Neurology | 1901 Veterans Memorial Drive, Neurology Section, Central Texas Veterans Health Care System, Temple, TX 76504-7451 | 2005-11-04 |
| 1225026420 | Sally Borucki | Psychiatry & Neurology | 2401 So 31st Street, Temple, TX 76508-0001 | 2005-10-11 |
| 1497741888 | Gopal R. Guttikonda | Psychiatry & Neurology | 1713 Sw H K Dodgen Loop, Temple, TX 76502-1836 | 2005-09-21 |
| 1235558842 | Rachel Mehendale | Psychiatry & Neurology | 2401 S 31st St, Temple, TX 76508 | 2014-04-10 |
| 1285052894 | Lauren Edwards Fournier | Psychiatry & Neurology | 2401 S 31st St, Temple, TX 76508-0001 | 2014-04-01 |
| 1417244823 | Sowmya Atluri | Psychiatry & Neurology | 2401 S 31st St, Temple, TX 76508 | 2011-07-06 |
| 1083908495 | Jennifer Marie Padilla | Psychiatry & Neurology | 2401 S 31st St, Temple, TX 76508-2137 | 2011-06-02 |
| 1336455286 | Ahmad Ali Shawagfeh | Psychiatry & Neurology | 2401 S 31st St, Temple, TX 76508-1532 | 2010-08-28 |
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| 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.