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MOHAMMED M AL-JASIM MD

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1760479786

Individual Registrant:
 MOHAMMED M AL-JASIM MD
Gender: M
Sole Proprietor

Location and contact information for practice:
1600 S IMPERIAL AVE SUITE #8 EL CENTRO, CA 92243-4242 US
Tel: 760-336-3773  Fax: 760-370-3229

Contact information for business:
PO BOX 3156  EL CENTRO, CA 92244-3156 US
Tel: 760-336-3773  Fax: 760-370-3229

Registration Information:
NPI: 1760479786
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
CAA82827
Y207RI0200XAllopathic & Osteopathic Physicians
Internal Medicine
CAA82827

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1760479786CA05




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