MEDICARE: JAMEEL AMEER UQDAH 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	207R00000X	Internal Medicine Physician	21864	MS
2	207R00000X	Internal Medicine Physician	04-34798	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	04-34798	OTHER	KS	KS LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	21864	OTHER	MS	MS LICENSE

General Provider Information

NPI Number	:	1982864054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMEEL AMEER UQDAH M.D.

Provider Business Mailing Address
First Line	:	3452 CHANDLER COVE WAY
Second Line	:
City	:	ANTIOCH
State	:	TN
Zip	:	37013-4576
Country	:	US
Telephone Number	:	615-668-3546
Fax Number	:	615-668-3546

Provider Business Practice Location Address
First Line	:	1500 E DOWNING ST STE 101
Second Line	:
City	:	TAHLEQUAH
State	:	OK
Zip	:	74464-3354
Country	:	US
Telephone Number	:	918-434-7440
Fax Number	:

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

Provider Enumeration Date	:	06/12/2008
Last Update Date	:	01/20/2026

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