person
Ali Tareq Jaleel Al-azzawi, MD
Student in an Organized Health Care Education/Training Program in Jackson, Mississippi
NPI 1831681352

Ali Tareq Jaleel Al-azzawi is a Student in an Organized Health Care Education/Training Program based in Coralville, MS. Ali Tareq Jaleel Al-azzawi practices in Jackson, MS and has the professional credentials of MD. The NPI Number for Ali Tareq Jaleel Al-azzawi is 1831681352 and holds a License No. (Mississippi).

The current practice location address for Ali Tareq Jaleel Al-azzawi is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-5750 and via fax at 601-984-5765.

Location: 2500 N State St, Jackson, MS, 52241-2542
person
Provider Profile Details
NPI Number
1831681352
Provider Name
Ali Tareq Jaleel Al-azzawi
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 52241-2542
Phone Number
601-984-5750
Fax Number
601-984-5765
Provider Enumeration Date
05/31/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-5750
Fax Number
601-984-5765
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-5750
Fax Number
601-984-5765
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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