Provider Demographics
NPI:1629530621
Name:MOHAMMED, JAMEEL SAIR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMEEL
Middle Name:SAIR
Last Name:MOHAMMED
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 1:980 ALMARIDA DR
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-0104
Mailing Address - Country:US
Mailing Address - Phone:669-256-6515
Mailing Address - Fax:
Practice Address - Street 1:733 HIGHWAY 466
Practice Address - Street 2:
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-6340
Practice Address - Country:US
Practice Address - Phone:407-258-3550
Practice Address - Fax:239-204-3000
Is Sole Proprietor?:No
Enumeration Date:2019-04-01
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME161825208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation