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Individual

DR. MOUHAMAD GHYATH JAMIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2524
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2524

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101235641
VA
207R00000X
Internal Medicine Physician
52618-20
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101235641
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
52618-20
WI
207RP1001X
Pulmonary Disease Physician
0101235641
VA
207RP1001X
Pulmonary Disease Physician
52618-20
WI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
52618-20
WI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
8807
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1841226305
MN
Enumeration date
06/24/2006
Last updated
04/16/2014
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