Provider Demographics
NPI:1053169649
Name:ROSENTHAL GREEN, ADAYA (MD)
Entity type:Individual
Prefix:MRS
First Name:ADAYA
Middle Name:
Last Name:ROSENTHAL GREEN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ESHICOL LEV 60 APARTMENT 17
Mailing Address - Street 2:
Mailing Address - City:TEL-AVIV
Mailing Address - State:ISRAEL
Mailing Address - Zip Code:00000
Mailing Address - Country:IL
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ONE BAYLOR PLAZA
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-798-6078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-08
Last Update Date:2025-03-06
Deactivation Date:2025-01-09
Deactivation Code:
Reactivation Date:2025-03-06
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program