Individual
JAMAL ATALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5040 N 15TH AVE, SUITE 107, PHOENIX, AZ 85015-3328
(602) 200-9711
(602) 200-9712
Mailing address
6622 N 91ST AVE, STE 220, GLENDALE, AZ 85305-2569
(602) 759-6883
(602) 224-3358
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35493
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143853
—
AZ
Enumeration date
09/16/2005
Last updated
06/26/2018
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