Individual
AYMAN JAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2632 N 20TH ST, PHOENIX, AZ 85006-1339
(602) 266-2200
(602) 240-5862
Mailing address
PO BOX 61773, PHOENIX, AZ 85082-1773
(602) 266-2200
(602) 240-5862
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
34175
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
961145
—
AZ
01
—
P00319194
RAILROAD MEDICARE
AZ
01
—
WCSKQ
SUN HEALTH GROUP #
AZ
Enumeration date
09/26/2005
Last updated
10/26/2012
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