DR. RAKIYA ENGO DIALLO MD NPI 1063524049

NPI Information

NPI: 1063524049
Provider Name: DR. RAKIYA ENGO DIALLO, MD
Classification: Clinic/Center - 261QM1300X
Entity Type: Individual

Specialization: Multi-Specialty

PECOS Registration: Yes

Address:
3334 BROADWAY BLVD
SUITE 422
GARLAND, TX
ZIP 75043
Phone: (972) 271-1156
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DR. Rakiya Engo Diallo, MD is a multi-specialty clinic center in Garland, TX. DR. Rakiya Engo Diallo, MD NPI is 1063524049. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3334 BROADWAY BLVD
SUITE 422
GARLAND, TX
ZIP 75043-585
Phone: (972) 271-1156
Fax: (972) 271-1691

The NPI 1063524049 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 10/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care	N4380	TEXAS	No
2	261QP2300X	Clinic/Center	Primary Care	N4380	TEXAS	No
3	261QM1300X	Clinic/Center	Multi-Specialty	N4380	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2176448	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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