Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | A120340 | CA |
NPI | 1003130105 |
---|---|
Provider Name | Nasheed Ishrat Jamal |
First Address | Los Angeles, CA 90095-1769 |
Second Address | Los Angeles, CA 90095-1769 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2010 |
Last Update Date | 17/01/2020 |