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NPI Code Detail

MEDICARE: JALEEL DURRANI MD

MEDICARE:   JALEEL  DURRANI  MD
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
1207L00000XAnesthesiology PhysicianC10007270DE
2207L00000XAnesthesiology Physician38130KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790767945
Entity Type Code : Individual
Provider Name (Legal Business Name) : JALEEL DURRANI MD
Provider Business Mailing Address
First Line : 601 S FLOYD ST STE 407
Second Line :
City : LOUISVILLE
State : KY
Zip : 40202-1837
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4001 DUTCHMANS LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40207-4714
Country : US
Telephone Number : 502-893-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 05/20/2019

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Directions to “ JALEEL DURRANI MD” Practice Location

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