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NPI Code Detail

MEDICARE: MEHRI JALALI M.D.

MEDICARE:   MEHRI  JALALI  M.D.
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 PhysicianL5388TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00172214OTHERTXRAILROAD MEDICARE

General Provider Information

NPI Number : 1932104338
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEHRI JALALI M.D.
Provider Business Mailing Address
First Line : PO BOX 421007
Second Line :
City : HOUSTON
State : TX
Zip : 77242-1007
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 22999 HIGHWAY 59 N
Second Line :
City : KINGWOOD
State : TX
Zip : 77339-4438
Country : US
Telephone Number : 713-481-3541
Fax Number : 713-432-0221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 03/19/2009

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Directions to “ MEHRI JALALI M.D.” Practice Location

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