Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 42254 | AL |
NPI | 1659799690 |
---|---|
Provider Name | Mohammad Raheel N Jajja |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35249-1059 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2014 |
Last Update Date | 26/08/2021 |