IMAD ABOSSALLUE


Address: 1611 Nw 12th Ave, Department of Nuclear Medicine, Jmh West Wing 279, Miami, FL 33136-1005
Phone: 3055857955

IMAD ABOSSALLUE (NPI# 1134359599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134359599
Entity Type Individual
Full Name IMAD ABOSSALLUE
Credential M.D.
Practice Address 1611 Nw 12th Ave
Department of Nuclear Medicine, Jmh West Wing 279
Miami
FL 33136-1005
Mailing Address 200 Corporate Blvd
Lafayette
LA 70508-3870
Practice Telephone 3055857955
Mailing Telephone 8008939698
Enumeration Date 2009-07-20
Last Update Date 2019-12-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine ME121864 FL Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 2009010810 MO Allopathic & Osteopathic Physicians
N 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
4301102046 MI Allopathic & Osteopathic Physicians
Y 207U00000X Nuclear Medicine ME121864 FL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
110 Longwood Ave, Rockledge, FL 329552828 3216362211 3216906617

Office Location

Street Address 1611 NW 12TH AVE
DEPARTMENT OF NUCLEAR MEDICINE, JMH WEST WING 279
City MIAMI
State FL
Zip Code 33136-1005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740286251 Karen Chitty Emergency Medicine 1611 Nw 12th Ave, Miami, FL 33136-1005 2005-06-21
1558968263 Natalie Dinger Nurse Practitioner 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-10-06
1306452057 Ryan M Bukhari Dentist 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-09-18
1467068155 Hussien Touny Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-09-18
1912512310 Clementina Aurora Cabrera Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-09-11
1184237265 Kencya Toussaint Nurse Practitioner 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-08-28
1568075976 Manuel Molina Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-08-25
1063025468 Carlos Federico Moral Ortega Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-08-25
1770195919 Ezekiel Oluwasayo Ijaopo Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-08-19
1568070258 Virosh Dharmadasa Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-07-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548875685 Agustina Dirocco Registered Nurse 1611 Ne 12th Ave, Miami, FL 33136 2020-09-15
1093338451 Krizia Amy Vinck Clinical Neuropsychologist 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 2020-05-20
1992327761 Jorge Luis Cardenas Alvarez Student in an Organized Health Care Education/Training Program 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 2020-05-14
1104447036 Denver Steven Pinto Student in an Organized Health Care Education/Training Program 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 2020-05-01
1992325724 Dimple Kumar Chanamolu Student in an Organized Health Care Education/Training Program Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 2020-04-22
1578100996 Alex Aziz Al Khoury Internal Medicine 1120 Nw 14th St. Suite 1112, Miami, FL 33136 2019-12-04
1437708872 Marie Jeanjean Genetic Counselor, MS 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 2019-09-09
1710543905 Tal Friehmann Student in an Organized Health Care Education/Training Program Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 2019-05-14
1285297895 Omar Munoz Student in an Organized Health Care Education/Training Program 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 2019-04-18
1902369648 Seyedeh Haleh Amirian Student in an Organized Health Care Education/Training Program 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 2019-04-10
Find all providers in zip 33136

Taxonomy Information

Taxonomy Code 207U00000X
Grouping Allopathic & Osteopathic Physicians
Classification Nuclear Medicine

Taxonomy Definition

A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Nuclear Medicine, 2007. http://www.abnm.org/. A doctor of osteopathy was able to obtain a Certificate of Added Qualifications in the field of Nuclear Medicine. The Certificate is NO longer offered.
- American Osteopathic Board of Nuclear Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Nuclear Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255628558 Gables Radiology Associates Pa Nuclear Medicine 815 Nw 57th Avenue, Suite 100, Miami, FL 33126-2041 2011-07-07
1699948976 Asad Arif Nasir Nuclear Medicine 1100 Biscayne Blvd Unit 3104, Miami, FL 33132-1746 2008-04-08
1730454208 Jason Mehraban Samii Nuclear Medicine 8900 N Kendall Dr, Miami, FL 33176-2118 2012-03-17
1003094103 Hongyun June Zhu Nuclear Medicine 1400 Nw 12th Ave, Miami, FL 33136-1003 2008-01-31
1487856563 George Michael Panagakos Nuclear Medicine 1611 Nw 12th Ave, Miami, FL 33136-1005 2007-06-01
1912108622 Russ A. Kuker Nuclear Medicine 1611 Nw 12th Ave, Ww279, Miami, FL 33136-1005 2007-05-30
1750491437 Anil Shanker Bharne Nuclear Medicine 1201 Nw 16th St, Miami, FL 33125-1624 2006-08-30
1639288335 Stephen Phillip Rosenthal Nuclear Medicine 1201 Nw 16th St, 115, Miami, FL 33125-1624 2006-08-29
1083679591 Tatiana Froud Nuclear Medicine 1611 Nw 12th Ave, Box 016960 M851, Miami, FL 33136-1005 2006-04-18
1548256993 Deborah Pevsner Nuclear Medicine 1150 Nw 14th St, Miami, FL 33136-2137 2005-09-21
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Competitor

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City MIAMI
Zip Code 33136

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Dataset Information

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.

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