Provider Demographics
NPI:1215565213
Name:JUMAMIL, RIANA BALAHADIA (MD)
Entity Type:Individual
Prefix:
First Name:RIANA
Middle Name:BALAHADIA
Last Name:JUMAMIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RIANA
Other - Middle Name:CRISETA
Other - Last Name:BALAHADIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:63 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-1513
Mailing Address - Country:US
Mailing Address - Phone:201-320-9492
Mailing Address - Fax:
Practice Address - Street 1:505 PARNASSUS AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2204
Practice Address - Country:US
Practice Address - Phone:415-476-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program