# DR. JAMAL S HEJAZI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558332437
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | 7608 | NV | — |
| 2084P0800X | Psychiatry Physician | 992637831205 | UT | — |
| 2084P0800X | Psychiatry Physician | A49714 | CA | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 7608 | NV | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 992637831205 | UT | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | A49714 | CA | — |

## Other

- **Enumeration date:** 01/30/2006
- **Last updated:** 08/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 107007645101 | INTRMTN HEALTH CARE | UT |
| 01 | — | 263060 | DESERET MUTUAL | UT |
| 01 | — | 942938348HE2 | EDUCATORS MUTUAL | UT |