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NPI Code Detail

MEDICARE: JAMAL MOURAD DO

MEDICARE: JAMAL MOURAD DO
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
1207V00000XObstetrics & Gynecology Physician3254AZ

General Provider Information

NPI Number : 1366404634
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMAL MOURAD DO
Provider Business Mailing Address
First Line : 1910 S STAPLEY DR STE 120
Second Line :
City : MESA
State : AZ
Zip : 85204-6676
Country : US
Telephone Number : 602-722-4179
Fax Number : 602-584-4120
Provider Business Practice Location Address
First Line : 1910 S STAPLEY DR STE 120
Second Line :
City : MESA
State : AZ
Zip : 85204-6676
Country : US
Telephone Number : 480-744-1518
Fax Number : 602-584-4120
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 06/15/2026

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Directions to “ JAMAL MOURAD DO” Practice Location

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