Obadah Ezzeldin, MD | |
301 University Blvd, Galveston, TX 77555 | |
(409) 747-2849 | |
(409) 772-7120 |
Full Name | Obadah Ezzeldin |
---|---|
Gender | Male |
Speciality | Radiology - Vascular & Interventional Radiology |
Location | 301 University Blvd, Galveston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245724343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | U4799 (Texas) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | U4799 (Texas) | Primary |
Entity Name | Utmb Faculty Group Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
Mailing Address | Practice Location Address |
---|---|
Obadah Ezzeldin, MD Po Box 650859, Dept 710, Dallas, TX 75265-0859 Ph: (409) 266-0175 | Obadah Ezzeldin, MD 301 University Blvd, Galveston, TX 77555 Ph: (409) 747-2849 |
Dr. Alvin Carlos Camacho, MD Radiology Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-4194 | |
Morton H. Leonard Jr., M.D. Radiology Medicare: Medicare Enrolled Practice Location: 38 Lakeview Dr, Galveston, TX 77551 Phone: 409-692-3345 | |
Dr. Roberto Nonesupplied Zamudio, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-4194 | |
Faustino C. Guinto Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 | |
Dr. Eric Michael Walser, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Department Of Radiology, 301 University Blvd, Galveston, TX 77555 Phone: 409-747-0100 Fax: 409-772-8219 | |
Gregory Chaljub, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 | |
Tomas Eduardo Uribe Acosta, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 |