BADER ABU GHALYOUN MD – NPI #1740492214
Internal Medicine

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Health Care Provider Taxonomy Code for Internal Medicine

BADER ABU GHALYOUN is a physician located in STOCKTON, CA. NPPES has assigned the NPI number 1740492214 to BADER ABU GHALYOUN on May 04, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology

The NPI profile was previously updated about 6 years ago on Jun 25, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BADER ABU GHALYOUN below.

NPI Profile for
BADER ABU GHALYOUN

NPI Number
1740492214
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BADER ABU GHALYOUN
Credentials
MD
Primary location
1801 E MARCH LN
STOCKTON, CA 95210-6629
Phone: (209) 464-3615 Fax:
1 Other location(s):
3200 MacCorkle Ave SE
Hospitalists Program
Charleston, WV 25304-1227
Phone: (304) 388-5848
Fax: (304) 388-9654
Mailing address
1801 E MARCH LN STE D400
STOCKTON, CA 95210-6675
Phone: (209) 464-3615 Fax: (209) 464-1537
Sole Proprietor
No
Updated
Certification Date
Jun 25, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RI0011X
- Internal Medicine / Interventional Cardiology (Primary)		 CA C169074
208M00000X
- Hospitalist		 WV 24179
207R00000X
- Internal Medicine		 WV 24179

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
BADER ABU GHALYOUN is affiliated with the following medical group(s):
  • HOSPITAL
    • ADVENTIST HEALTH LODI MEMORIAL
      975 S FAIRMONT AVENUE
      LODI, CA 95240
    • DAMERON HOSPITAL
      525 WEST ACACIA STREET
      STOCKTON, CA 95203
    • ST JOSEPH'S MEDICAL CENTER OF STOCKTON
      1800 N CALIFORNIA ST
      STOCKTON, CA 95204

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