Provider Demographics
NPI:1083846018
Name:ALJAMMAL, JULES (MD)
Entity Type:Individual
Prefix:
First Name:JULES
Middle Name:
Last Name:ALJAMMAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 520247
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84152-0247
Mailing Address - Country:US
Mailing Address - Phone:801-572-3433
Mailing Address - Fax:801-679-6679
Practice Address - Street 1:4465 S 900 E STE 200
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-2695
Practice Address - Country:US
Practice Address - Phone:801-572-3433
Practice Address - Fax:801-683-6845
Is Sole Proprietor?:No
Enumeration Date:2009-08-09
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8971173-1205207RE0101X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism