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Individual

FADY GHASSAN JAMOUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1301 S. CLIFF AVE., STE. 601, SIOUX FALLS, SD 57105-1032
(605) 322-6930
(605) 322-6931
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
5716
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0598441
IA
05
2177820538
IL
01
2385644
ARAZ/ AMERICA'S PPO
SD
01
247965
MIDLANDS CHOICE
SD
05
353995400
MN
01
407141045262
PREFERRED ONE
SD
05
46022474347
NE
01
4800456
MEDICA
SD
01
4994409
BLUE CROSS
SD
01
57105W009
WPS TRICARE
SD
01
5716
DAKOTACARE
SD
05
6005230
SD
01
80G66JA
CC SYSTEMS/ BLUE PLUS
MN
01
92411422905
PRIMEWEST
MN
01
HP56608
HEALTHPARTNERS
SD
01
P00303619
RR MEDICARE
SD
Enumeration date
02/23/2006
Last updated
10/15/2018
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