Individual
DR. GORDON RAMZAN NIAMATALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2620 WEST FAIDLEY, GRAND ISLAND, NE 68803
(308) 384-4600
Mailing address
1000 E VERMONT AVE, APPT#5212, MCALLEN, TX 78503-1717
(956) 249-9564
(308) 398-5537
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H5015
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09251809
—
MS
05
—
1473502
—
LA
Enumeration date
11/01/2006
Last updated
04/30/2009
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