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General NPI Number Information
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NPI Number | 1841275815
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Entity Type | Individual
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Provider Name | JULIET HOWARD FALLAH M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 2825 OAK LAWN AVE UNIT 192749
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City | DALLAS
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State | TX
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Zip | 75219-4688
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Country | US
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Telephone | 510-683-9500
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Fax | 877-880-2039
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Provider Business Mailing Address
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Address Line | 2825 OAK LAWN AVE UNIT 192749
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City | DALLAS
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State | TX
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Zip | 75219-4688
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Country | US
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Telephone | 510-683-9500
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Fax | 877-880-2039
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35C.002483
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | V7362
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2025-02435
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D0103235
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036107907
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License Number State | IL
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