Mr. Jamal Ait Ichou, MD
Student in an Organized Health Care Education/Training Program in Boston, Massachusetts
1194511055- Practice location
- 75 Francis St, Boston, MA 02115
- Phone
- 617-732-6306
- Fax
- —
- Last updated
- December 18, 2025
Jamal Ait Ichou is a Student in an Organized Health Care Education/Training Program based in Boston, MA. Jamal Ait Ichou practices in Boston, MA and has the professional credentials of MD. The NPI Number for Jamal Ait Ichou is 1194511055 and holds a License No. 3017772 (MA). The current practice location address for Jamal Ait Ichou is 75 Francis St, Boston, MA 02115 and can be reached out via phone at 617-732-6306.
Provider Profile Details
- NPI Number
- 1194511055
- Provider Name
- Jamal Ait Ichou
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 75 Francis St, Boston, MA 02115
- Phone Number
- 617-732-6306
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 17, 2025
- Last Update Date
- December 18, 2025
- Certification Date
- December 18, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 75 Francis St
Boston, MA 02115 - City
- Boston
- State
- Massachusetts
- Zip
- 02115
- Phone Number
- 617-732-6306
Provider Business Mailing Address Details
- Address
- 75 Francis St
Boston, MA 02115 - City
- Boston
- State
- MA
- Zip
- 02115
- Phone Number
- 617-732-6306
License Information
- License Number
- 3017772
- License State
- MA
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Jamal Ait Ichou, MD?
The NPI number of Mr. Jamal Ait Ichou, MD is 1194511055. It was assigned on April 17, 2025 and is currently active in the NPPES registry.
What is the specialty of Mr. Jamal Ait Ichou, MD?
Mr. Jamal Ait Ichou, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in MA under license number 3017772.
Where does Mr. Jamal Ait Ichou, MD practice?
The practice location is 75 Francis St, Boston, MA 02115. The office can be reached at 617-732-6306 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194511055 directly on the NPPES registry website.