Atalla, Jamal

Atalla, Jamal is an individual health care provider with primary practice located at 5040 N 15Th Ave Suite 107, Phoenix AZ 85015-3328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Atalla, Jamal can be contacted via phone (602) 200-9711.

Contact Information

Primary practice address
5040 N 15Th Ave Suite 107 Phoenix AZ 85015-3328
Phone: (602) 200-9711
Fax: (602) 200-9712
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 35493 Arizona

Profile Details

NPI number 1609861566
LBN Legal business name Atalla, Jamal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Jun 26th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609861566 NPPES
Arizona MEDICAID 143853

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