Individual
DR. JAMAL JON DERAKHSHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 OLD YORK RD, ABINGTON, PA 19001-3720
(215) 964-5775
Mailing address
1200 OLD YORK RD, ABINGTON, PA 19001-3720
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2018011780
MO
2085R0202X
Diagnostic Radiology Physician
Primary
MD449544
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200053550
—
MO
Enumeration date
04/21/2011
Last updated
06/12/2024
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