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NPI Code Detail

MEDICARE: AVAL NA REE SIAN GREEN M.D.

MEDICARE: AVAL NA REE SIAN GREEN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0300XGeriatric Medicine (Internal Medicine) Physician01100335AIN
2207RG0300XGeriatric Medicine (Internal Medicine) Physician48446OK
3207RG0300XGeriatric Medicine (Internal Medicine) Physician247204TN
4207RG0300XGeriatric Medicine (Internal Medicine) PhysicianP1079TX
5207RG0300XGeriatric Medicine (Internal Medicine) Physician81300AZ
6207RG0300XGeriatric Medicine (Internal Medicine) Physician54175AL
7207RG0300XGeriatric Medicine (Internal Medicine) Physician352728LA
8207RG0300XGeriatric Medicine (Internal Medicine) Physician14291805-1235UT
9207RG0300XGeriatric Medicine (Internal Medicine) PhysicianMD.70140652WA
10207RG0300XGeriatric Medicine (Internal Medicine) Physician0101241716VA
11207RG0300XGeriatric Medicine (Internal Medicine) PhysicianC1-0029735DE
12207RG0300XGeriatric Medicine (Internal Medicine) Physician2026-03242NC
13207RG0300XGeriatric Medicine (Internal Medicine) PhysicianMD-27065HI
14207RG0300XGeriatric Medicine (Internal Medicine) Physician37361MS
15207RG0300XGeriatric Medicine (Internal Medicine) Physician0007040CO

General Provider Information

NPI Number : 1932314846
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVAL NA REE SIAN GREEN M.D.
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number :
Provider Business Practice Location Address
First Line : 1201 FANNIN ST STE 262
Second Line :
City : HOUSTON
State : TX
Zip : 77002-6943
Country : US
Telephone Number : 866-849-0692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 06/12/2026

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