HENRY M ANDOH JR. (NPI# 1699021378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699021378 |
| Entity Type | Individual |
| Full Name | HENRY M ANDOH JR. |
| Credential | M.D. |
| Practice Address |
3161 L St Sacramento CA 95816 |
| Mailing Address |
10470 Old Placerville Rd Ste 100 Sacramento CA 95827-2539 |
| Practice Telephone | 9168877862 |
| Practice Fax Number | 9167365533 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2020-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
A127048 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2019028995 | MO | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A127048 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 401558 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22 S Greene St, Rom N3e09, Baltimore, MD 212011544 | 4103286110 | |
| 6424 E Broadway Rd Ste 101, Mesa, AZ 852061750 | 4804569000 | |
| 300 Pasteur Dr, Stanford, CA 943052200 | 6507234000 | |
| 3161 L St, Sacramento, CA 95816 | 9168877862 | 9167365533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578637245 | Henry M Andoh | Internal Medicine | 757 45th Ave, Ste. 201, Munster, IN 46321-2911 | 2006-11-17 |
| Street Address |
3161 L ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851397772 | Christopher Chong | Radiology | 3161 L St, Sacramento, CA 95816-5234 | 2005-06-24 |
| 1548723836 | Diagnostic Pathology Medical Group, Inc. | Pathology | 3161 L St, Sacramento, CA 95816-5234 | 2019-04-12 |
| 1770902710 | Allen Li | Radiology | 3161 L St, Sacramento, CA 95816-5234 | 2014-04-07 |
| 1942641162 | Benjamin G Coombs | Internal Medicine | 3161 L St, Sacramento, CA 95816 | 2013-07-16 |
| 1558649152 | Ruchir Chaudhari | Radiology | 3161 L St, Sacramento, CA 95816 | 2011-07-30 |
| 1174815849 | Vladimir Merunka | Radiology | 3161 L St, Sacramento, CA 95816-5234 | 2011-05-12 |
| 1629367073 | Rajkamal Singh Khangura | Radiology | 3161 L St, Sacramento, CA 95816 | 2011-04-06 |
| 1124330303 | Julie Koo | Radiology | 3161 L St, Sacramento, CA 95816-5234 | 2010-07-05 |
| 1205150356 | Sutter Valley Medical Foundation | Radiology | 3161 L St, Sacramento, CA 95816-5234 | 2010-03-18 |
| 1396068573 | Margaret Sandra Hsu Taghavi | Radiology | 3161 L St, Sacramento, CA 95816-5234 | 2010-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336382472 | Paul Sung Lee | Radiology | 401 35th St, Sacramento, CA 95816-3403 | 2009-04-17 |
| 1407899651 | Frank A. Brown | Radiology | 754 Santa Rita Way, Sacramento, CA 95864-5238 | 2006-06-14 |
| 1295121713 | Bryan Lubomirsky | Radiology | 4860 Y St Ste 3100, Sacramento, CA 95817-2307 | 2015-04-10 |
| 1982990131 | Anthony Galinato | Radiology | 2315 Stockton Blvd # Op512, Sacramento, CA 95817-2201 | 2011-06-27 |
| 1154611432 | Nancy Pham | Radiology | 4860 Y St Ste 3100, Sacramento, CA 95817-2307 | 2011-04-07 |
| 1699903617 | Woseneneh Bekele | Radiology | 4860 Y St, 3100, Sacramento, CA 95817-2307 | 2009-06-29 |
| 1649442575 | Azad Ghassemi | Radiology | 2801 K St, Suite 502, Sacramento, CA 95816-5120 | 2008-04-01 |
| 1225229008 | Sahar Farzin | Radiology | 2800 L Street, Suite 610, Sacramento, CA 95816-5616 | 2007-08-06 |
| 1649472374 | Parminder Singh Deol | Radiology | 3000 Q St Fl 1, Sacramento, CA 95816-7058 | 2007-06-04 |
| 1760560478 | Jonathan Hartman | Radiology | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2006-11-01 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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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.