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NPI Code Detail

MEDICARE: JAMEELA AHMEDUDDIN MD

MEDICARE: JAMEELA AHMEDUDDIN 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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianE6974TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2220032274OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
180P692OTHERTXBCBS

General Provider Information

NPI Number : 1891799235
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMEELA AHMEDUDDIN MD
Provider Business Mailing Address
First Line : PO BOX 420150
Second Line :
City : HOUSTON
State : TX
Zip : 77242-0150
Country : US
Telephone Number : 713-559-6929
Fax Number : 713-432-0221
Provider Business Practice Location Address
First Line : 6801 EMMETT F LOWRY EXPY
Second Line :
City : TEXAS CITY
State : TX
Zip : 77591-2500
Country : US
Telephone Number : 409-938-5000
Fax Number : 409-938-5175
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 08/01/2018

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