Individual
RAYHAN JALAL
Active
Individual
RAYHAN JALAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01074356A
IN
207X00000X
Orthopaedic Surgery Physician
251687
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000896530
ANTHEM PROVIDER NUMBER
IN
05
—
201250640
—
IN
Enumeration date
08/02/2012
Last updated
01/14/2021
Update your record
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