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Individual

DR. JAY JAHANMIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9040 JACKSON AVE, TACOMA, WA 98431-5001
(253) 968-2252
Mailing address
5299 SIMONS DR, RENO, NV 89523-1872
(808) 725-7933

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
16606
HI
207R00000X
Internal Medicine Physician
MD60585340
WA
207RN0300X
Nephrology Physician
16606
HI
208M00000X
Hospitalist Physician
0101265104
VA
208M00000X
Hospitalist Physician
214098
MA
208M00000X
Hospitalist Physician
Primary
MD60585340
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2017075
MA
Enumeration date
11/08/2005
Last updated
09/12/2024
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