Provider Demographics
NPI:1679700181
Name:JAMALL, AKBAR A (MD)
Entity Type:Individual
Prefix:DR
First Name:AKBAR
Middle Name:A
Last Name:JAMALL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:820 UNION ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-3004
Mailing Address - Country:US
Mailing Address - Phone:518-828-3391
Mailing Address - Fax:518-828-6734
Practice Address - Street 1:820 UNION ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-3004
Practice Address - Country:US
Practice Address - Phone:518-828-3391
Practice Address - Fax:518-828-6734
Is Sole Proprietor?:No
Enumeration Date:2009-06-11
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267362207W00000X
CAA111145207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA824749OtherFIRST PRIORITY HEALTH
PA2858165OtherCIGNA
3045078OtherUNITEDHEALTHCARE
2113597OtherHIGHMARK BLUE SHIELD
PA1023314530001Medicaid
9398376OtherAETNA