Individual provider · NPI-1

Dr. Ali D Jassim, MD

Pathology, Clinical Pathology/Laboratory Medicine · Sioux Falls, SD

NPI number1265418248
StatusActive
Last updated in NPPESMar 29, 2022

Details

NPI
1265418248
Entity type
Individual (NPI-1)
Name
Dr. Ali D Jassim
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Dec 21, 2005
Certification date
Mar 29, 2022
Last updated
Mar 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine3540SDYes

Practice location

1305 W 18th St
Sioux Falls, SD 57105-0401

Phone 605-333-1720 · Fax 605-333-1966

Mailing address

Po Box 5074
Sioux Falls, SD 57117-5074

Phone 605-328-6585 · Fax 605-328-6512

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