GREGORY ABDULLAH (NPI# 1568997559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
134 E MISTLETOE AVE |
City | SAN ANTONIO |
State | TX |
Zip Code | 78212-3407 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679073522 | Michelle Lee Huml-vanzile | Registered Nurse | 134 E Mistletoe Ave, San Antonio, TX 78212-3407 | 2018-02-16 |
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 |
Find all providers in zip 78212 |
Taxonomy Code | 2471C3401X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Computed Tomography |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
City | SAN ANTONIO |
Zip Code | 78212 |
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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.