MEDICARE: DR. FARNOUSH JAMALI 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
1	208000000X	Pediatrics Physician	D0058375	MD

General Provider Information

NPI Number	:	1518293588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FARNOUSH JAMALI M.D.

Provider Business Mailing Address
First Line	:	9045 HOLLY LEAF LN
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-2657
Country	:	US
Telephone Number	:	301-365-5235
Fax Number	:

Provider Business Practice Location Address
First Line	:	845 QUINCE ORCHARD BLVD STE B
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20878-1676
Country	:	US
Telephone Number	:	301-977-2440
Fax Number	:	833-382-0118

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2009
Last Update Date	:	09/20/2025

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