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Organization
MEHRNAZ JAMALI MD INC
Active
Organization
MEHRNAZ JAMALI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARJAN LOGHGMAN (CFO)
(858) 335-3110
Entity
Organization
Contact information
Practice address
5000 PLEASANTON AVE STE 110, PLEASANTON, CA 94566-7052
(925) 484-4406
(925) 484-0346
Mailing address
5000 PLEASANTON AVE STE 110, PLEASANTON, CA 94566-7052
(858) 335-3310
(949) 831-0339
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A53933
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FR493A
MEDICARE PTAN
CA
Enumeration date
08/06/2006
Last updated
09/01/2021
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