Individual
DIANA I. JALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1616
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1616
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD-44694
IA
207RN0300X
Nephrology Physician
47036
CO
207RN0300X
Nephrology Physician
Primary
MD-44694
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65485866
—
CO
Enumeration date
07/09/2006
Last updated
03/17/2018
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