MEDICARE: SAWSAN JAMIL MD PLLC

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
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1629857727
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAWSAN JAMIL MD PLLC

Provider Business Mailing Address
First Line	:	6043 19 MILE RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48314-2105
Country	:	US
Telephone Number	:	248-844-4550
Fax Number	:

Provider Business Practice Location Address
First Line	:	6043 19 MILE RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48314-2105
Country	:	US
Telephone Number	:	248-844-4550
Fax Number	:

Authorized Official
Title or Position	:	DO
Name	:	SAWSAN JAMIL
Credential	:	DO
Telephone Number	:	248-782-4000

Provider Enumeration Date	:	09/27/2023
Last Update Date	:	11/23/2023

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