Healthcare Provider Details

I. General information

NPI: 1043899289
Provider Name (Legal Business Name): ERICA JAMILA JALAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

543 TAYLOR AVE FL 2
COLUMBUS OH
43203-1278
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-685-3333
  • Fax: 614-366-0345
Mailing address:
  • Phone: 614-685-3333
  • Fax: 614-366-0345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number35.157183
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: