Individual
DR. ABDULJALEEL POOVATHUMKADAVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
90 AUTUMN CREEK LN, APT. F, EAST AMHERST, NY 14051-2918
(716) 800-9089
Mailing address
90 AUTUMN CREEK LN, APT. F, EAST AMHERST, NY 14051-2918
(716) 800-9089
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
AMO395168
TN
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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