Dr Abduljaleel Poovathumkadavil, MD | |
90 Autumn Creek Ln, Apt. F, East Amherst, NY 14051-2918 | |
(716) 800-9089 | |
Not Available |
Full Name | Dr Abduljaleel Poovathumkadavil |
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Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 30 Years |
Location | 90 Autumn Creek Ln, East Amherst, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790219335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | AMO395168 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tennova Healthcare-clarksville | Clarksville, TN | Hospital |
St Louis University Hospital | Saint louis, MO | Hospital |
Jennie Stuart Medical Center | Hopkinsville, KY | Hospital |
Ssm Health St Mary's Hospital - St Louis | Richmond heights, MO | Hospital |
Vanderbilt University Medical Center | Nashville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Health Care Group | 0143608372 | 690 |
Dynamic Radiology Tennessee Pc | 6204207798 | 10 |
Entity Name | Ssm Health Care Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
Mailing Address | Practice Location Address |
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Dr Abduljaleel Poovathumkadavil, MD 90 Autumn Creek Ln, Apt. F, East Amherst, NY 14051-2918 Ph: (716) 800-9089 | Dr Abduljaleel Poovathumkadavil, MD 90 Autumn Creek Ln, Apt. F, East Amherst, NY 14051-2918 Ph: (716) 800-9089 |
Dr. Keyur Shah, MD Radiology Medicare: Medicare Enrolled Practice Location: 25 Cape Cod Ln, East Amherst, NY 14051 Phone: 202-841-7776 |