Individual
TAZEEN JAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-8743
(412) 359-8233
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-8743
(412) 359-8233
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01072693A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
MD452347
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102979217
MEDICAID
PA
Enumeration date
05/06/2008
Last updated
10/05/2020
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