Individual
JAMIL BAWERJAN ALKHADDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6185 PASEO DEL NORTE STE 100, CARLSBAD, CA 92011-1152
(760) 940-7000
(760) 940-0042
Mailing address
1926 VIA CTR STE A, VISTA, CA 92081-6056
(760) 940-7000
(760) 940-0042
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C186416
CA
207R00000X
Internal Medicine Physician
MD432373
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
C186416
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
MD432373
PA
Other
Enumeration date
10/16/2006
Last updated
05/22/2024
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