AMIR G ABDELMALIK MD PLLC (NPI# 1144743923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144743923 |
| Entity Type | Organization |
| Organization Name | AMIR G ABDELMALIK MD PLLC |
| Practice Address |
6711 S Yale Ave Ste 104 Tulsa OK 74136-3317 |
| Mailing Address |
14024 Rose Lodge Pl Chantilly VA 20151-2247 |
| Practice Telephone | 9185227200 |
| Practice Fax Number | 9185227201 |
| Mailing Telephone | 9177578549 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2018-04-30 |
| Authorized Official Name | DR. AMIR G ABDELMALIK (PHYSICIAN / OWNER) |
| Authorized Official Telephone | 9177578549 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
28935 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200419510A | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | AMIR G ABDELMALIK MD PLLC | 5 Zuider Zee Court, Ballwin, MO 63011 |
| Virginia Business Entities | AMIR G ABDELMALIK MD PLLC | 5441 Chandley Farm Circle, Centreville, Virginia 20120 |
| Street Address |
6711 S YALE AVE STE 104 |
| City | TULSA |
| State | OK |
| Zip Code | 74136-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124123963 | Radiology Services of Ardmore, Inc. | Radiology | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2006-09-14 |
| 1568430643 | Charles Arnold | Radiology | 940 Ne 13th St, 4g4250, Oklahoma City, OK 73104-5008 | 2006-03-14 |
| 1588632772 | Dale M Brannon | Radiology | 940 Ne 13th St, 4g4250, Oklahoma City, OK 73104-5008 | 2006-03-14 |
| 1396713533 | Joe C Leonard | Radiology | 940 Ne 13th St, 4g4250, Oklahoma City, OK 73104-5008 | 2006-03-14 |
| 1932178027 | Jay S Hiller | Radiology | 940 Ne 13th St, 4g4250, Oklahoma City, OK 73104-5008 | 2006-03-14 |
| 1053302380 | Southern Oklahoma Pet Imaging LLC | Radiology | 701 E Robinson St, Suite 102, Norman, OK 73071-6625 | 2005-11-04 |
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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.