Individual
MR. REZA JALAL
Active
Individual
MR. REZA JALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
112378
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111316
BCBS
MO
05
—
208949008
—
MO
01
—
341420
HEALTHLINK
MO
01
—
P00192519
RAILROAD MEDICARE
MO
Enumeration date
04/20/2006
Last updated
01/28/2013
Update your record
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