Individual
DR. KASSAMALI JAMAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
604 9TH ST N, VIRGINIA, MN 55792-2320
(218) 741-2222
(218) 741-7389
Mailing address
3920 13TH AVE E, SUITE 6, HIBBING, MN 55746-3675
(218) 263-7540
(888) 680-4314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31229
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110136005
RR MEDICARE
MN
01
—
33Y03KA
BCBS
MN
05
—
810787400
—
MN
Enumeration date
08/09/2006
Last updated
03/19/2014
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