National Provider Identifier

Abduljaleel Poovathumkadavil, M.D

Abduljaleel Poovathumkadavil, M.D is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in East Amherst, NY and a listed phone number of (716) 800-9089.

NPI 1790219335East Amherst, NYDiagnostic Radiology Physician

Profile Overview

NPI
1790219335
Provider Type
Individual
Primary Specialty
Diagnostic Radiology Physician
Enumeration Date
April 19, 2017
Last Updated
April 19, 2017

Practice Location

  • 90 Autumn Creek Ln
  • Apt. F
  • East Amherst, NY 14051-2918

Phone: (716) 800-9089

Specialties

  • Diagnostic Radiology Physician (2085R0202X)
Full Record
NPI
1790219335
Entity Type
Individual
Last Name
Poovathumkadavil
First Name
Abduljaleel
Name Prefix
Dr.
Credential
M.D
Mailing Street Address
90 Autumn Creek Ln
Mailing Address Line 2
Apt. F
Mailing City
East Amherst
Mailing State
NY
Mailing ZIP Code
14051-2918
Mailing Country
US
Mailing Phone
(716) 800-9089
Practice Street Address
90 Autumn Creek Ln
Practice Address Line 2
Apt. F
Practice City
East Amherst
Practice State
NY
Practice ZIP Code
14051-2918
Practice Country
US
Practice Phone
(716) 800-9089
Enumeration Date
April 19, 2017
Last Updated
April 19, 2017
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Diagnostic Radiology Physician (2085R0202X)