Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 29456 | WV |
NPI | 1013399856 |
---|---|
Provider Name | Ayesha Jameel |
First Address | Morgantown, WV 26507-0763 |
Second Address | Cooperstown, NY 13326-1301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2015 |
Last Update Date | 27/09/2021 |