Individual
SIRAJ M EL JAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUSTAVE L LEVY PL FL 15, NEW YORK, NY 10029-6504
(212) 241-0440
Mailing address
2500 N STATE ST, UNI. OF MISSISSPPI MEDICAL CENTER. DEP. OF PATHOLOGY, JACKSON, MS 39216-4500
(601) 984-1530
(601) 984-1531
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
25MA09081500
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA09081500
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
289261
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04873305
—
NY
05
—
05553563
—
MS
Enumeration date
05/24/2007
Last updated
04/26/2024
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