Individual
DR. JALALUDDIN UMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 E 1ST AVE, TARENTUM, PA 15084-1858
(724) 224-3113
(724) 224-2447
Mailing address
301 E 1ST AVE, TARENTUM, PA 15084-1858
(724) 224-3113
(724) 224-2447
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD469177
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15065205
CAQH
—
05
—
PENDING
—
PA
Enumeration date
08/05/2014
Last updated
01/26/2021
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