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Dr. Jalal B Andre, MD
Student in an Organized Health Care Education/Training Program in Seattle, Washington
NPI 1063611275

Jalal B Andre is a Student in an Organized Health Care Education/Training Program based in Seattle, WA. Jalal B Andre practices in Seattle, WA and has the professional credentials of MD. The NPI Number for Jalal B Andre is 1063611275 and holds a License No. A107739 (Washington).

The current practice location address for Jalal B Andre is 1959 Ne Pacific Street, Nw011, Seattle, WA and can be reached out via phone at 206-598-8766 and via fax at 206-598-8475.

Location: 1959 Ne Pacific Street, Nw011, Seattle, WA, 98195-7115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063611275
Provider Name
Jalal B Andre
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1959 Ne Pacific Street, Nw011, Seattle, WA, 98195-7115
Phone Number
206-598-8766
Fax Number
206-598-8475
Provider Enumeration Date
07/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
390200000X 01 NJ MONMOUTH
institution
Provider Business Practice Location Address Details
Address
1959 Ne Pacific Street, Nw011
City
Seattle
State
Washington
Zip
98195-7115
Phone Number
206-598-8766
Fax Number
206-598-8475
person
Provider Business Mailing Address Details
Address
1959 Ne Pacific Street, Nw011
City
Seattle
State
Washington
Zip
98195-7115
Phone Number
206-598-8766
Fax Number
206-598-8475
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD60217663 (Washington)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
A107739 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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