Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | OS020472 | PA |
Y | 207RX0202X | Medical Oncology | OS020472 | PA |
NPI | 1033552732 |
---|---|
Provider Name | Ahmed Jamal Nadeem |
First Address | Allentown, PA 18103-5622 |
Second Address | Allentown, PA 18103-6218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2013 |
Last Update Date | 10/07/2020 |