Jamal Raji Mogannam
Nephrologist
1425 S Main St
Walnut Creek
, California 94596-5318
Jamal Raji Mogannam
Nephrologist
1425 S Main St
Walnut Creek
, California 94596-5318
(510) 625-6262
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Jamal Raji Mogannam
- 1800 Harrison St Fl 7
- Oakland, CA
- Zip : 94612-3466
- Phone : (510) 625-6262
Second Address
- Jamal Raji Mogannam
- 1425 S Main St
- Walnut Creek, CA
- Zip : 94596-5318
- Phone : (925) 295-4000
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Is Jamal Raji Mogannam a sole practitioner?
Is Jamal Raji Mogannam accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | G62129 | CA |
National Provider Identifier
| NPI | 1053483891 |
|---|---|
| Provider Name | Jamal Raji Mogannam |
| First Address | Oakland, CA 94612-3466 |
| Second Address | Walnut Creek, CA 94596-5318 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2006 |
| Last Update Date | 10/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G621290 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.