Individual
AHMAD DAMLAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
MT233174
PA
207LP3000X
Pediatric Anesthesiology Physician
57.255867
OH
207LP3000X
Pediatric Anesthesiology Physician
Primary
986-L
MS
Other
Enumeration date
08/01/2024
Last updated
07/05/2026
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