Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Abduljaleel Poovathumkadavil, MD

Individual provider Diagnostic Radiology Physician · NPI 1790219335

Dr. Abduljaleel Poovathumkadavil, MD is a Diagnostic Radiology in East Amherst, New York. Qualified in 1994, 32 years ago. Practices with SSM Health Care Group, a 923-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
32
Licensed in
TN
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

90 Autumn Creek Ln Apt F
East Amherst, NY 14051-2918
Phone: (716) 800-9089
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence AMO395168 (TN)

Record details

NPI number1790219335
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 19, 2017
Last updated in NPPESApril 19, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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