Healthcare Provider Details

I. General information

NPI: 1588667083
Provider Name (Legal Business Name): AHMED NABIL BELAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: AHMED NABIL ABDELHALIM MD

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 12/16/2020
Certification Date: 12/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ELM AND CARLTON STREETS
BUFFALO NY
14263-0001
US

IV. Provider business mailing address

ELM AND CARLTON STREETS
BUFFALO NY
14263-0001
US

V. Phone/Fax

Practice location:
  • Phone: 716-845-2300
  • Fax: 716-845-5707
Mailing address:
  • Phone: 716-845-2300
  • Fax: 716-845-5707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number255014
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: