NPI Code Details Logo

NPI 1952359762

NPI 1952359762 : ANNABEL GALVA MD : COUNCIL BLUFFS, IA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1952359762
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ANNABEL GALVA MD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/04/2006
-----------------------------------------------------
    Last Update Date     |    04/01/2021
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    933 E PIERCE ST 
-----------------------------------------------------
    City                 |    COUNCIL BLUFFS
-----------------------------------------------------
    State                |    IA
-----------------------------------------------------
    Zip                  |    51503-4626
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    402-361-5225
-----------------------------------------------------
    Fax                  |    402-391-1533
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    14301 FNB PKWY STE 100 
-----------------------------------------------------
    City                 |    OMAHA
-----------------------------------------------------
    State                |    NE
-----------------------------------------------------
    Zip                  |    68154-7200
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    402-758-5233
-----------------------------------------------------
    Fax                  |    888-972-1672
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2085R0202X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Radiology Physician
-----------------------------------------------------
    License Number       |    34530
-----------------------------------------------------
    License Number State |    IA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2085R0202X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Radiology Physician
-----------------------------------------------------
    License Number       |    21642
-----------------------------------------------------
    License Number State |    NE
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.