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NPI Code Detail

MEDICARE: JAMAL MOURAD DO

MEDICARE:   JAMAL  MOURAD  DO
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
1207V00000XObstetrics & Gynecology Physician3254AZ

General Provider Information

NPI Number : 1366404634
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMAL MOURAD DO
Provider Business Mailing Address
First Line : 16611 S 40TH ST
Second Line : STE 180
City : PHOENIX
State : AZ
Zip : 85048-0562
Country : US
Telephone Number : 480-785-2100
Fax Number : 480-290-7980
Provider Business Practice Location Address
First Line : 16611 S 40TH ST
Second Line : STE 180
City : PHOENIX
State : AZ
Zip : 85048-0562
Country : US
Telephone Number : 480-785-2100
Fax Number : 480-290-7980
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 03/18/2024

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Directions to “ JAMAL MOURAD DO” Practice Location

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