Individual
FADY GHASSAN JAMOUS
Active
Individual
FADY GHASSAN JAMOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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