Individual
DR. MOHAMMAD K JAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
324 E ANTIETAM ST STE 203, HAGERSTOWN, MD 21740-5792
(301) 714-4044
Mailing address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101236528
VA
208600000X
Surgery Physician
Primary
D84147
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101236528
LIC
VA
05
—
0468900
—
IA
01
—
39641
WELLMARK BCBS
IA
Enumeration date
11/08/2005
Last updated
05/28/2019
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