Individual
JIMA TELELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12164 CENTRAL AVE, SUITE 200, MITCHELLVILLE, MD 20721-1944
(301) 218-9223
(240) 544-0120
Mailing address
3710 RIVIERA ST, SUITE 1D, TEMPLE HILLS, MD 20748-1719
(301) 423-4551
(301) 423-4553
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0046895
MD
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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