DR. RAKIYA ENGO DIALLO (NPI# 1063524049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063524049 |
| Entity Type | Individual |
| Full Name | DR. RAKIYA ENGO DIALLO |
| Other Name | RAKIYA ENGO AKWA |
| Credential | MD |
| Practice Address |
3334 Broadway Blvd Suite 422 Garland TX 75043-1585 |
| Practice Telephone | 9722711156 |
| Practice Fax Number | 9722711691 |
| Mailing Telephone | 9722711156 |
| Mailing Fax Number | 9722711691 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
N4380 | TX | Ambulatory Health Care Facilities |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
N4380 | TX | Ambulatory Health Care Facilities |
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
N4380 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 2176448 | 05 |
| Street Address |
3334 BROADWAY BLVD SUITE 422 |
| City | GARLAND |
| State | TX |
| Zip Code | 75043-1585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043561434 | Raypha Urgent Care & Clinics | Clinic/Center | 3334 Broadway Blvd, 422, Garland, TX 75043-1585 | 2012-09-25 |
| 1699053553 | Zainabu Koroma | Nurse Practitioner | 3334 Broadway Blvd, Ste 422, Garland, TX 75043-1575 | 2011-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811509672 | Hospice Angels, LLC. | Hospice Care, Community Based | 350 Oaks Trail, Suite # 201, Garland, TX 75043 | 2020-08-21 |
| 1639683212 | H&p Diagnostic Services LLC | Specialist/Technologist, Other | 310 E Interstate 30 Ste M105, Garland, TX 75043 | 2017-11-19 |
| 1013439934 | Shereen Raju Varughese | Nurse Practitioner | 2605 Claymore Avenue, Garland, TX 75043 | 2017-07-12 |
| 1558891176 | Eluzay LLC | Technician | 2302 Guthrie Road, Suite 140, Garland, TX 75043 | 2017-06-15 |
| 1841740065 | Francesca Crye Anokwute | Nurse Practitioner | 4514 Grantham Drive, Garland, TX 75043 | 2016-10-12 |
| 1013394329 | Amber M Murphy | Dietitian, Registered | 2435 N. Central Expwy, 12th Floor, Richardson, TX 75043 | 2015-05-06 |
| 1811303266 | Saint Jude Hospice and Palliative Care LLC | Hospice Care, Community Based | 346 Oaks Trail #225, Garland, TX 75043 | 2014-07-07 |
| 1992149306 | Richard Shad Hattaway | Dentist | 6452 Broadway Boulevard, Garland, TX 75043 | 2013-04-29 |
| 1407106370 | Jennifer Frances Burtt | Physician Assistant | 545 Interstate 30 Frontage Rd, Mesquite, TX 75043 | 2012-09-18 |
| 1083991319 | Vidya Suri Dds Pa | Dentist | 6521 Duck Creek Dr, Garland, TX 75043 | 2011-11-15 |
| Find all providers in zip 75043 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952788317 | Shots On Site LLC | Clinic/Center | 3671 Broadway Blvd Ste 400, Garland, TX 75043-1686 | 2015-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662667 | Journey To Recovery LLC | Clinic/Center | 2815 W T C Jester Blvd Ste 102, Houston, TX 77018-7049 | 2020-09-04 |
| 1669086963 | Cl Haven Enterprises | Clinic/Center | 4443 Loop 322, Abilene, TX 79602-8056 | 2020-09-03 |
| 1689292773 | Crossover Health Medical Group | Clinic/Center | 1940 Enchanted Way Ste 101, Grapevine, TX 76051-0965 | 2020-07-06 |
| 1053939140 | Crossover Health Medical Group | Clinic/Center | 215 W Camp Wisdom Rd Ste 11, Duncanville, TX 75116-3342 | 2020-07-06 |
| 1598380271 | Hanson Discovery Group LLC | Clinic/Center | 6002 Lofty Ln, Spring, TX 77379-5087 | 2020-06-09 |
| 1770107856 | Vascular Institute of Houston Pllc | Clinic/Center | 815 Brazos St Ste 500, Austin, TX 78701-2509 | 2020-06-03 |
| 1497378988 | Post-acute Care Services, Pllc | Clinic/Center | 5729 Martin Rd Apt 107, Plano, TX 75024-4955 | 2020-05-19 |
| 1407476138 | Summit Emergency Medicine, Pllc | Clinic/Center | 8111 Lbj Fwy Ste 475, Dallas, TX 75251-1386 | 2020-04-22 |
| 1174143002 | Ultimate Pain Solutions, P.l.l.c. | Clinic/Center | 9700 Richmond Ave Ste 120, Houston, TX 77042-4697 | 2020-04-21 |
| 1376163311 | Betts Ventures Inc | Clinic/Center | 13134 Dairy Ashford Rd Ste 900-a, Sugar Land, TX 77478-3756 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.