GREGORY ABDULLAH


Address: 134 E Mistletoe Ave, San Antonio, TX 78212-3407
Phone: 2102231100

GREGORY ABDULLAH (NPI# 1568997559) 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) 1568997559
Entity Type Individual
Full Name GREGORY ABDULLAH
Other Name GREGORY DEENRAUSAN ABDULLAH
Practice Address 134 E Mistletoe Ave
San Antonio
TX 78212-3407
Mailing Address Po Box 778
Ganado
AZ 86505-0778
Practice Telephone 2102231100
Mailing Telephone 5206047560
Enumeration Date 2017-04-27
Last Update Date 2017-04-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 247100000X Radiologic Technologist 17913 AZ Technologists, Technicians & Other Technical Service Providers
Y 2471C3401X Radiologic Technologist
Specialization: Computed Tomography
31426 AZ Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 134 E MISTLETOE AVE
City SAN ANTONIO
State TX
Zip Code 78212-3407

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679073522 Michelle Lee Huml-vanzile Registered Nurse 134 E Mistletoe Ave, San Antonio, TX 78212-3407 2018-02-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902451701 Ninfa Hernandez Guzman Assisted Living Facility 325 E Locust St., San Antonio, TX 78212 2019-08-08
1366924730 David Edward Dupuy Occupational Therapist 307 West Cypress, San Antonio, TX 78212 2018-09-03
1184100836 Magenta Health, Inc. Clinic/Center 1222 North Main, Suite 115, San Antonio, TX 78212 2018-07-16
1497275762 Dms Pharmacy, LLC Pharmacy 305 East Euclid, Suite 104, San Antonio, TX 78212 2017-06-27
1245693290 Rebecca Lynn Sherman Physical Therapist 40 Ne Interstate 410 Loop, San Antonio, TX 78212 2016-03-29
1669886032 Felise De Novo, PC Counselor 2400 Mccullough Ave., #12851, San Antonio, TX 78212 2014-06-13
1699102699 Prem S. Kalidindi Pharmacist 2608 N. Main, Ste 1, San Antonio, TX 78212 2013-10-04
1073860052 Sarah Nicole Percy Tovar Dentist 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 2012-08-09
1205181674 Michael Jose Cavazos Internal Medicine 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 2012-07-20
1730458381 Neuriom, Pllc Electrodiagnostic Medicine 4007 Mccullough Ave, #243, San Antonio, TX 78212 2011-12-27
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Taxonomy Information

Taxonomy Code 2471C3401X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Computed Tomography

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508894163 Imagdent Radiologic Technologist 14329 San Pedro Ave Ste C, San Antonio, TX 78232-4389 2006-06-30
1184013468 Dentalmed Imaging, LLC Radiologic Technologist 8647 Wurzbach Rd Bldg B, San Antonio, TX 78240-1245 2015-01-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285256685 Rochelle Jackson Radiologic Technologist 2208 Ranch Road 620 N Apt 5414, Austin, TX 78734-2847 2020-05-08
1376039180 Victor C Ezemba Radiologic Technologist 6922 Addicks Clodine Rd, Houston, TX 77083-1102 2018-07-04
1679928592 Charles Darling Radiologic Technologist 1512 Country Walk Dr, Mckinney, TX 75071-7790 2016-04-28
1588097653 Jose Trejo Gonzalez Radiologic Technologist 14722 Country Rose Ln, Cypress, TX 77429-8044 2013-08-13
1326225707 Park Central Imaging LLC Radiologic Technologist 5601 Granite Pkwy, Ste 460, Plano, TX 75024-6654 2008-01-28
1528185386 Karma Sue Penner Radiologic Technologist 273 Mesa Vw, Montgomery, TX 77316-2906 2007-03-24
1275687428 Mcallen North Imaging Inc Radiologic Technologist 5030 North 10th St., Mcallen, TX 78504-2832 2007-01-23
1205911054 Preferred Open Mri, Ltd. Radiologic Technologist 8405 Lakeview Pkwy., Ste 220, Rowlett, TX 75088-4559 2006-10-26
1285717462 Preferred Mri, Inc. Radiologic Technologist 1778 N. Plano Rd., Suite 300, Richardson, TX 75081-1958 2006-10-23
1861575615 Preferred Imaging of Plano, Lp Radiologic Technologist 2205 N Central Expwy., Ste. 185, Plano, TX 75075-2591 2006-10-23
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Competitor

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City SAN ANTONIO
Zip Code 78212

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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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