Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | A55261 | CA |
N | 207RP1001X | Pulmonary Disease | A55261 | CA |
NPI | 1023118098 |
---|---|
Provider Name | Dr. Shazia M. Jamil |
First Address | San Diego, CA 92127-5705 |
Second Address | La Jolla, CA 92037-1027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 25/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H69157 | (02) | CA |