Provider Demographics
NPI:1366679615
Name:MOHAMMED, JAMAL MUJADDID (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMAL MUJADDID
Middle Name:
Last Name:MOHAMMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10535 HOSPITAL WAY BLDG 727
Mailing Address - Street 2:
Mailing Address - City:MATHER
Mailing Address - State:CA
Mailing Address - Zip Code:95655-4200
Mailing Address - Country:US
Mailing Address - Phone:916-843-7306
Mailing Address - Fax:916-364-1132
Practice Address - Street 1:10535 HOSPITAL WAY BLDG 727
Practice Address - Street 2:
Practice Address - City:MATHER
Practice Address - State:CA
Practice Address - Zip Code:95655-4200
Practice Address - Country:US
Practice Address - Phone:916-734-3575
Practice Address - Fax:916-734-7924
Is Sole Proprietor?:No
Enumeration Date:2009-06-14
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXBP10035328207Q00000X
TXP3392207Q00000X
CAA126021207QS1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine