Individual provider · NPI-1

Mohammed M Al-Jasim, MD

Internal Medicine, Infectious Disease · El Centro, CA

NPI number1760479786
StatusActive
Last updated in NPPESNov 11, 2011

Details

NPI
1760479786
Entity type
Individual (NPI-1)
Name
Mohammed M Al-Jasim
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 4, 2005
Last updated
Nov 11, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RI0200X Internal Medicine, Infectious DiseaseA82827CAYes
207R00000X Internal MedicineA82827CA

Other names

  • Mohammed Abdulridha Mohammed (Former Name)

Practice location

1600 S Imperial Ave
Suite #8
El Centro, CA 92243-4242

Phone 760-336-3773 · Fax 760-370-3229

Mailing address

Po Box 3156
El Centro, CA 92244-3156

Phone 760-336-3773 · Fax 760-370-3229

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