GRAIDUKEL MED INC (NPI# 1902045040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902045040 |
| Entity Type | Organization |
| Organization Name | GRAIDUKEL MED INC |
| Practice Address |
2750 E Washington Blvd Suite #370 Pasadena CA 91107-1448 |
| Mailing Address |
Po Box 50082 Pasadena CA 91115-0082 |
| Practice Telephone | 6262960792 |
| Mailing Telephone | 6262960792 |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |
| Authorized Official Name | IDUAMA KELLY-DOKUBO (PRESIDENT) |
| Authorized Official Telephone | 6262960792 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
2750 E WASHINGTON BLVD SUITE #370 |
| City | PASADENA |
| State | CA |
| Zip Code | 91107-1448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376503144 | Iduama Kelly-dokubo | Internal Medicine | 2750 E Washington Blvd, Suite #370, Pasadena, CA 91107-1448 | 2006-03-24 |
| 1295371144 | Jocelyn Canales | Student in an Organized Health Care Education/Training Program | 2750 E Washington Blvd, Pasadena, CA 91107-1448 | 2019-11-25 |
| 1467096628 | Dayna Elizabeth Charlot | Marriage & Family Therapist | 2750 E Washington Blvd, Pasadena, CA 91107-1448 | 2019-10-31 |
| 1780235200 | Jennifer M Rivers | Student in an Organized Health Care Education/Training Program | 2750 E Washington Blvd, Pasadena, CA 91107-1448 | 2019-09-25 |
| 1346891850 | Doris Garcia | Student in an Organized Health Care Education/Training Program | 2750 E Washington Blvd, Pasadena, CA 91107-1448 | 2019-09-25 |
| 1588215255 | Silverr Dominique Loudermill | Student in an Organized Health Care Education/Training Program | 2750 E Washington Blvd, Pasadena, CA 91107-1448 | 2019-09-24 |
| 1902452832 | Janina Daniels | Marriage & Family Therapist | 2750 E Washington Blvd, Pasadena, CA 91107-1448 | 2019-08-15 |
| 1003462946 | Aurelie Anne Marie Zephir | Marriage & Family Therapist | 2750 E Washington Blvd, Pasadena, CA 91107-1448 | 2019-08-15 |
| 1265916332 | Alvaro Reynaldo Cota | Student in an Organized Health Care Education/Training Program | 2750 E Washington Blvd, Pasadena, CA 91107-1448 | 2018-09-24 |
| 1730660226 | Ronald Michael Depanes Villegas | Counselor | 2750 E Washington Blvd, Pasadena, CA 91107-1448 | 2018-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295351740 | Penciu Medical Apmc | Internal Medicine | 1585 Sierra Madre Villa Ave, Pasadena, CA 91107-1259 | 2020-06-21 |
| 1912366097 | Nirp Pasadena, Pllc | Internal Medicine | 3412 Burke Rd # 100, Pasadena, TX 77504-1805 | 2016-02-17 |
| 1710395942 | W Allan Edmiston Md A Medical Corporation | Internal Medicine | 55 E California Blvd Fl 3, Pasadena, CA 91105-3944 | 2014-07-31 |
| 1932308137 | William Leonard Discepolo II | Internal Medicine | 3235 E Colorado Blvd Ste 201, Pasadena, CA 91107-3849 | 2007-07-17 |
| 1538203724 | Ramesh G. Patel | Internal Medicine | 4102 Woodlawn Ave, Ste 250, Pasadena, TX 77504-1947 | 2007-02-19 |
| 1417094665 | Mohamed O Jeroudi Md Pa | Internal Medicine | 5060 Crenshaw Road, Suite # 200, Pasadena, TX 77505-3047 | 2007-01-30 |
| 1902820491 | Premier Heart Specialists P A | Internal Medicine | 4102 Woodlawn, #110, Pasadena, TX 77504 | 2006-07-27 |
| 1922036631 | Ming Jeang | Internal Medicine | 3337 Plainview St, Suite 8, Pasadena, TX 77504-1988 | 2006-06-29 |
| 1316988215 | Anna Marie Harkins Jr. | Internal Medicine | 5010 Crenshaw Rd Ste 110, Pasadena, TX 77505-3047 | 2006-06-10 |
| 1255382545 | Foothill Cardiology Medical Group, Inc. | Internal Medicine | 625 S Fair Oaks Ave Ste 215, Pasadena, CA 91105-2613 | 2006-05-12 |
| Find all providers in PASADENA | ||||
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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.