Provider Demographics
NPI:1568613743
Name:JALIL, RAGHAD ABBAS (MD)
Entity Type:Individual
Prefix:
First Name:RAGHAD
Middle Name:ABBAS
Last Name:JALIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 HOWELL ROAD
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740
Mailing Address - Country:US
Mailing Address - Phone:301-790-7999
Mailing Address - Fax:301-790-2886
Practice Address - Street 1:19236 MEADOW VIEW DR
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-2924
Practice Address - Country:US
Practice Address - Phone:301-790-7999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-06
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist