Individual
IYAD JAMALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 GOETHALS DR, KADLEC INLAND CARDIOLOGY, RICHLAND, WA 99352-3304
(509) 946-2699
(509) 946-2675
Mailing address
3900 S ZINTEL WAY, KENNEWICK, WA 99338
(509) 942-3627
(509) 942-2268
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00036068
WA
207RC0000X
Cardiovascular Disease Physician
MD21172
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0311927
L&I
WA
05
—
1144256181
—
WA
05
—
276740
—
OR
Enumeration date
06/23/2006
Last updated
11/11/2021
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