DR. IDOROENYI AMANAM


Address: 1500 E Duarte Road, Duarte, CA 91010-3012
Phone: 6262564673

DR. IDOROENYI AMANAM (NPI# 1205257920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205257920
Entity Type Individual
Full Name DR. IDOROENYI AMANAM
Credential M.D.
Practice Address 1500 E Duarte Road
Duarte
CA 91010-3012
Mailing Address Po Box 512185
Los Angeles
CA 90051-0185
Practice Telephone 6262564673
Practice Fax Number 6264083911
Mailing Telephone 6267753514
Enumeration Date 2013-12-23
Last Update Date 2020-11-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0000X Internal Medicine
Specialization: Hematology
A131624 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 1500 E DUARTE ROAD
City DUARTE
State CA
Zip Code 91010-3012

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437190915 Shana M Landau Radiology 1500 E Duarte Road, Duarte, CA 91010-3012 2006-06-08
1356842843 Jerick Tan Nurse Practitioner 1500 E Duarte Road, Duarte, CA 91010 2018-02-21
1437512944 Vincent Chan Pediatrics 1500 E Duarte Road, Duarte, CA 91010 2016-04-01
1750764320 Suresh B Selvaraju Specialist 1500 E Duarte Road, Nw # 2238, Duarte, CA 91741 2015-07-01
1770971418 Brian Christopher Bowman Nurse Practitioner 1500 E Duarte Road, Duarte, CA 91010-3012 2015-01-05
1235545542 Elizabeth A Perrone Physician Assistant 1500 E Duarte Road, Duarte, CA 91010 2014-07-08
1730592346 Mona Mojtahedzadeh Psychiatry & Neurology 1500 E Duarte Road, Duarte, CA 91010-3012 2014-06-11
1922426543 Duveen Sturgeon Nurse Practitioner 1500 E Duarte Road, Duarte, CA 91010-3012 2014-04-01
1821419342 Lauren Seipel Nurse Practitioner 1500 E Duarte Road, Duarte, CA 91010-3012 2013-12-31
1053752253 Shaila Merchant Surgery 1500 E Duarte Road, Mob L001, Duarte, CA 91010 2013-07-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386266849 Cheyenne King Student in an Organized Health Care Education/Training Program 1801 Huntington Drive, Duarte, Ca 91010, Duarte, CA 91010 2020-05-07
1114578028 Cristian Gonzalez Case Manager/Care Coordinator 2250 E Foothill Ave, Pasadena, CA 91010 2019-09-23
1366932378 Maisie Madrid Marriage & Family Therapist 1801 Huntington Drive, Duarte, CA 91010 2018-05-15
1598289571 Bertha Maria Torres Social Worker 938 E. Huntington Drive, Unit A, Duarte, CA 91010 2017-08-01
1598292286 Sheila Ramirez Occupational Therapy Assistant 2302 Citrus View Ave, Duarte, CA 91010 2017-05-12
1982059556 Patricia Mendoza Case Manager/Care Coordinator 2502 E.huntington Dr., Duarte, CA 91010 2016-05-02
1770966178 Sinziana Dumitra Surgery 1500 Durate Road California, Mob L001, Duarte, CA 91010 2015-07-02
1477940161 Jin Sun L Bitar Internal Medicine 1500 Duarte Rd # Wing4, Duarte, CA 91010 2015-04-20
1659625622 Jeanette Marie Petermann Nurse Practitioner 1036 East Huntington Drive, Duarte, CA 91010 2012-10-30
1649534397 Nathaniel J Khoe Dds. Inc Dentist 1016 Huntington Drive, Duarte, CA 91010 2012-06-27
Find all providers in zip 91010

Taxonomy Information

Taxonomy Code 207RH0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology

Taxonomy Definition

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356754683 Brian John Ball Internal Medicine 1500 Duarte Rd, Duarte, CA 91010-3012 2014-06-04
1942543319 Hoda Pourhassan Internal Medicine 1500 Duarte Rd, Duarte, CA 91010-3012 2013-04-03
1568721116 Geoffrey Shouse Internal Medicine 1500 E. Duarte Road, Duarte, CA 91010 2012-05-15
1871827345 Nitya Atul Nathwani Internal Medicine 1500 Duarte Rd, Duarte, CA 91010-3012 2009-09-30
1275761553 Alex Herrera Internal Medicine 1500 Duarte Rd, Duarte, CA 91010-3012 2009-06-25
1144457979 Karamjeet Singh Sandhu Internal Medicine 1500 Duarte Rd, Dept of Hematology & Hematopoietic Cell Transplantation, Duarte, CA 91010-3012 2009-06-19
1285831057 Joseph Chao Internal Medicine 1500 Duarte Rd, Duarte, CA 91010-3012 2007-06-27
1134215817 Larry W. Kwak Internal Medicine 1500 Duarte Rd, Duarte, CA 91010-3012 2006-10-04
1629174552 Ryotaro Nakamura Internal Medicine 1500 E Duarte Rd, Duarte, CA 91010 2006-09-16
1568572592 Myo Htut Internal Medicine 1500 Duarte Rd, Duarte, CA 91010-3012 2006-08-30
Find all providers in DUARTE

Competitor

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City DUARTE
Zip Code 91010

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Dataset Information

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.

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