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

Paul Nabeel Mogannam, MD

Individual provider Diagnostic Radiology Physician · NPI 1790902328

Paul Nabeel Mogannam, MD is an Interventional Radiology in Los Angeles, California. Qualified in 2002, 24 years ago. Practices with Kettering Network Radiologists Inc, a 75-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2007
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

1200 N State St
Los Angeles, CA 90033-1029
Phone: (323) 226-7242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A86074 (CA)

Record details

NPI number1790902328
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 18, 2007
Last updated in NPPESApril 20, 2009

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Kettering Network Radiologists Inc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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