OMID KOHANNIM (NPI# 1861802316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861802316 |
| Entity Type | Individual |
| Full Name | OMID KOHANNIM |
| Credential | MD |
| Practice Address |
111 Dallas St San Antonio TX 78205-1201 |
| Mailing Address |
757 Westwood Plz Los Angeles CA 90095-1721 |
| Practice Telephone | 8774062916 |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2020-10-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
S5680 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
111 DALLAS ST |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78205-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063412666 | Select Specialty Hospital - San Antonio Inc | Long Term Care Hospital | 111 Dallas St, 4th Fl, San Antonio, TX 78205-1201 | 2005-07-26 |
| 1366040487 | Charlene Devyn Anderson | Nurse Practitioner | 111 Dallas St, San Antonio, TX 78205-1201 | 2020-10-12 |
| 1043832777 | Briana Rochelle Garza | Occupational Therapist | 111 Dallas St, San Antonio, TX 78205-1201 | 2020-05-15 |
| 1477182186 | Lu Ge | Pharmacist | 111 Dallas St, San Antonio, TX 78205-1201 | 2020-04-04 |
| 1629621909 | Shawn Timothy Woodland | Occupational Therapist | 111 Dallas St, 4th Floor Building C, San Antonio, TX 78205 | 2019-07-16 |
| 1457821290 | Blanca Azucena Macias | Nurse Practitioner | 111 Dallas St, San Antonio, TX 78205-1201 | 2018-12-04 |
| 1801376637 | Matthew Joseph Kraus | Occupational Therapist | 111 Dallas St, San Antonio, TX 78205-1201 | 2018-08-21 |
| 1174002208 | Hospitalist Medicine Physicians of Texas - San Antonio, Pllc | Internal Medicine | 111 Dallas St, San Antonio, TX 78205-1201 | 2018-08-09 |
| 1639661820 | Ashley Nicole Brown | Nurse Practitioner | 111 Dallas St, San Antonio, TX 78205 | 2018-06-04 |
| 1639689193 | Baptist Diagnostics, LLC | Clinical Medical Laboratory | 111 Dallas St, San Antonio, TX 78205-1201 | 2017-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144862947 | Xeras Medical Technologies, Inc. | Durable Medical Equipment & Medical Supplies | 315 E. Commerce Street Suite 203, San Antonio, TX 78205 | 2019-10-13 |
| 1538631676 | Olga Skirda | Physician Assistant | 610 North Main Avenue, San Antonio, TX 78205 | 2018-12-31 |
| 1508381757 | Davis Vision Inc | Eyewear Supplier (Equipment, not the service) | 175 E Houston, San Antonio, TX 78205 | 2017-08-09 |
| 1841647138 | Karen Tanguma | Counselor | 700 North St. Mary's Street, Suite 1400, San Antonio, TX 78205 | 2016-05-17 |
| 1346652500 | Lone Star Script Care LLC | Case Management | 310 S. S Mary's St, 1290, San Antonio, TX 78205 | 2014-05-22 |
| 1821227919 | Teresa Yanhong Chen | Optometrist | 175 East Houston St, Visionworks, San Antonio, TX 78205 | 2009-07-09 |
| 1164650735 | Mark Joseph Trevino | Ophthalmology | 414 Navarro St Ste 400, San Antonio, TX 78205 | 2009-06-23 |
| 1386882520 | Nicolas A. Melgarejo | Internal Medicine | 343 W. Houston St., Suite #808, San Antonio, TX 78205 | 2009-01-26 |
| 1518135904 | Khan Z Shirani | Emergency Medicine | 414 Navarro St Ste 500, San Antonio, TX 78205 | 2008-02-19 |
| 1619076700 | Candace Lynese Bellamy | Family Medicine | 221 3rd St. West, San Antonio, TX 78205 | 2006-09-22 |
| Find all providers in zip 78205 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat 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 |
|---|---|---|---|---|
| 1689294118 | Yolanda Salas Vergara | Radiology | 215 E Quincy St Ste 100, San Antonio, TX 78215-2032 | 2020-04-24 |
| 1568095123 | Century Radiology Medical Group, Inc | Radiology | 7102 Bethencourt, San Antonio, TX 78209-3407 | 2020-02-21 |
| 1760030852 | Francis Joseph Carabin | Radiology | 318 E Nakoma St, San Antonio, TX 78216-2795 | 2019-08-31 |
| 1518421619 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 12202 Chambers Cv, San Antonio, TX 78253-6357 | 2019-01-23 |
| 1649751058 | Mri Centers of Texas LLC - San Antonio Series | Radiology | 4400 Vance Jackson Rd, San Antonio, TX 78230-5323 | 2018-08-23 |
| 1457879215 | Concord Imaging | Radiology | 18802 Meisner Drive, San Antonio, TX 78252-4251 | 2017-08-31 |
| 1699157289 | Apurva Ashok Bonde | Radiology | 4502 Medical Dr # L340, San Antonio, TX 78229-4402 | 2015-06-19 |
| 1316337140 | Carl R Keener | Radiology | 15303 Huebner Rd Ste 11, San Antonio, TX 78248-0983 | 2015-02-02 |
| 1912260472 | John Damon Pavlus | Radiology | 331 E Fest St, San Antonio, TX 78204-1954 | 2012-06-20 |
| 1215235916 | Justin Costello | Radiology | 3851 Roger Brooke Drive, Fort Sam Houston, San Antonio, TX 78234-6200 | 2011-03-03 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78205 |
Please comment or provide details below to improve the information on OMID KOHANNIM.
| 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.