Individual
DR. AHMED MOSTAFA JLASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-4600
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01086260A
IN
207R00000X
Internal Medicine Physician
125.071800
IL
207RN0300X
Nephrology Physician
Primary
MD493484
PA
Other
Enumeration date
05/18/2018
Last updated
02/12/2026
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