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Individual

DR. SEYEDMEHDI JADALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C10007528
DE
208D00000X
General Practice Physician
C1007528
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102892714 0001
PA
05
1184682890
DE
01
14467500
DEPARTMENT OF LABOR
DE
05
253405300
MD
Enumeration date
05/02/2006
Last updated
01/07/2025
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