Provider Demographics
NPI:1477133577
Name:ABDULATEEF, JALAL A
Entity Type:Individual
Prefix:
First Name:JALAL
Middle Name:A
Last Name:ABDULATEEF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25209 108TH AVE SE APT L2
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-6465
Mailing Address - Country:US
Mailing Address - Phone:253-246-9194
Mailing Address - Fax:
Practice Address - Street 1:25209 108TH AVE SE APT L2
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-6465
Practice Address - Country:US
Practice Address - Phone:253-246-9194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter