Provider Demographics
NPI:1841480993
Name:JAMPAYAS, JODEL GAZO (MD)
Entity type:Individual
Prefix:DR
First Name:JODEL
Middle Name:GAZO
Last Name:JAMPAYAS
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 1:2706 OXMOOR WAY
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35211-6437
Mailing Address - Country:US
Mailing Address - Phone:205-943-9464
Mailing Address - Fax:205-795-1848
Practice Address - Street 1:255 W OXMOOR RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6343
Practice Address - Country:US
Practice Address - Phone:205-795-1667
Practice Address - Fax:205-795-1848
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 83017208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice