DR. DIANE AL-ABDULJALIL


Address: 4105 Crocus Ln, Colorado Springs, CO 80918-4413
Phone: 7192646271

DR. DIANE AL-ABDULJALIL (NPI# 1346458221) 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) 1346458221
Entity Type Individual
Full Name DR. DIANE AL-ABDULJALIL
Credential MD
Practice Address 4105 Crocus Ln
Colorado Springs
CO 80918-4413
Mailing Address 4105 Crocus Lane
Colorado Springs
CO 80918-4413
Practice Telephone 7192646271
Practice Fax Number 7192646298
Mailing Telephone 7192646271
Mailing Fax Number 7192646298
Enumeration Date 2007-05-21
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 32462 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO 01324623 05

Office Location

Street Address 4105 CROCUS LN
City COLORADO SPRINGS
State CO
Zip Code 80918-4413

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1215584321 Belleview Spince and Wellnces Cos LLC General Practice 1257 Lake Plaza Dr Ste 105, Colorado Springs, CO 80906-7300 2019-08-22
1215499967 Stanley Leon Rapaport General Practice 3920 E San Miguel St Apt 129, Colorado Springs, CO 80909-3416 2019-04-02
1972009637 Optimal Therapy Billing General Practice 6547 N Academy Blvd Ste 1131, Colorado Springs, CO 80918-8342 2018-04-02
1710487939 Imed Integration LLC General Practice 6190 Lehman Dr Ste 100b, Colorado Springs, CO 80918-3445 2018-02-14
1982102406 Medevals of Colorado, Inc. General Practice 1233 Lake Plaza Dr Ste B, Colorado Springs, CO 80906-3567 2018-01-30
1699164152 Peak Performance Pt/md,llc General Practice 540 Mesa Vista Ct, Colorado Springs, CO 80904-2541 2015-01-21
1548668429 Paul Baker Md PC General Practice 9703 Pinedale Dr, Colorado Springs, CO 80920-2443 2014-12-09
1235575457 Barbara Meduna General Practice 14530 Silverton Rd, Colorado Springs, CO 80921-2944 2013-05-14
1184972598 Courtney Crance General Practice 1715 N Weber St Ste 330, Colorado Springs, CO 80907-7554 2012-08-16
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Competitor

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City COLORADO SPRINGS
Zip Code 80918

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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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