MEDICARE: KARAM JAMEEL

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	172A00000X	Driver

General Provider Information

NPI Number	:	1518643949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARAM JAMEEL

Provider Business Mailing Address
First Line	:	11814 VIA HACIENDA
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92019-4099
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11814 VIA HACIENDA
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92019-4099
Country	:	US
Telephone Number	:	619-493-9904
Fax Number	:

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

Provider Enumeration Date	:	06/22/2023
Last Update Date	:	06/22/2023

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Directions to “ KARAM JAMEEL ” Practice Location

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