Individual
TAZEEN JAMAL
Active
Individual
TAZEEN JAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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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