SEYED ABDOL REZA JALALI (NPI# 1043219819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043219819 |
| Entity Type | Individual |
| Full Name | SEYED ABDOL REZA JALALI |
| Credential | M.D. |
| Practice Address |
2910 S Meridian Ste 350 Puyallup WA 98373-1585 |
| Practice Telephone | 2534455750 |
| Practice Fax Number | 2537798364 |
| Mailing Telephone | 2534455750 |
| Mailing Fax Number | 2537798364 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2020-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | D0060715 | MD | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD60663353 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 404228000 | 05 | |
| DE | 1000032342 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Prmc Inpatient Services, 100 E. Carroll Street, Salisbury, MD 21801 | 4105437536 | 4105437272 |
| Street Address |
2910 S MERIDIAN STE 350 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98373-1585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1629615760 | Jessie Jean Waiamau-ariota | Counselor | Winds of Liberty, 702 S Hill Park Dr Ste 206, Puyallup, WA 98373 | 2019-12-09 |
| 1194369181 | Ruba H Tawil | Dentist | 12005 Meridian E # 102, Puyallup, WA 98373 | 2019-11-01 |
| 1336621267 | Cara Tseng | Physician Assistant | 2940 S Meridian, Suite 200, Puyallup, WA 98373 | 2018-09-06 |
| 1902390289 | Melissa M Jenkins | Registered Nurse | 2920 S Meridian Ste 100, Puyallup, WA 98373 | 2018-06-19 |
| 1881141323 | Linda Cole | Massage Therapist | 8409 204th Street East, Spanaway, WA 98373 | 2016-09-01 |
| 1861855389 | Christina Leigh Bailey | Optometrist | 3500 S Meridian Ste 926, Puyallup, WA 98373 | 2016-04-01 |
| 1518301951 | Bryan Michael Swanson | Dentist | 2910 S Meridian Ste 120, Puyallup, WA 98373 | 2013-04-27 |
| 1760720569 | Vankosin Hewitt | Massage Therapist | 13613 Meridian East # 260, Puyallup, WA 98373 | 2013-01-29 |
| 1558607705 | Rosie Martinez | Counselor | 12812 101st Avenue Courte E, Suite 202, Puyallup, WA 98373 | 2012-12-17 |
| Find all providers in zip 98373 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306810023 | Jeremiah V Ojeaburu | Internal Medicine | 11216 Sunrise Blvd E Ste 3-207, Puyallup, WA 98374-8848 | 2006-02-17 |
| 1104156470 | Elizabeth Rosenblatt | Internal Medicine | 11216 Sunrise Blvd E Ste 3-207, Puyallup, WA 98374-8848 | 2010-01-07 |
| 1912108820 | Rajesh Manam | Internal Medicine | 1703 S Meridian Ste 305, Puyallup, WA 98371-7590 | 2007-05-29 |
| 1336357433 | Nicholas H. Sun | Internal Medicine | 1703 S Meridian Ste 305, Puyallup, WA 98371-7590 | 2007-05-20 |
| 1235161712 | Bisher Abdullah | Internal Medicine | 1420 3rd St Se, 106, Puyallup, WA 98372 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1407238173 | South Perry Endoscopy Pllc | Internal Medicine | 907 South Perry Street Suite 203, Spokane, WA 99202 | 2015-06-18 |
| 1316351430 | Mohammed M. Aboelsoud | Internal Medicine | 4545 Cordata Pkwy Ste 1b, Bellingham, WA 98226-7264 | 2014-06-17 |
| 1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
| 1881032423 | Richard Atwood Willson | Internal Medicine | 815 West Galer Street, Seattle, WA 98119 | 2013-06-05 |
| 1770833857 | Jonathan Alan Levant | Internal Medicine | 3201 Pacific Ave, Unit 1108, Tacoma, WA 98418-6907 | 2012-09-15 |
| 1841572724 | Kenneth Bruce Klein | Internal Medicine | 7470 Ne Manual Rd, Bainbridge Island, WA 98110-3032 | 2011-09-15 |
| 1972891505 | Gorav Kalra | Internal Medicine | 410 9th Ave, Seattle, WA 98104-2499 | 2011-07-18 |
| 1609163294 | Patrick John Laing | Internal Medicine | 301 W Poplar St Ste 210, Walla Walla, WA 99362-2800 | 2011-07-01 |
| 1194018366 | Hamid Habibi | Internal Medicine | 105 W 8th Ave Ste 6010, Spokane, WA 99204 | 2011-05-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SEYED ABDOL REZA JALALI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.