Individual provider · Type 1 NPI
Jalal B. Andre, MD
Diagnostic Radiology Physician · Seattle, WA
NPI number
1063611275
Active
Practice location
1959 NE Pacific Street, NW011, Box 357115
Seattle, WA 98195-7115
Fax (206) 598-8475
Mailing address
Box 357115, 1959 NE Pacific Street, NW011
Seattle, WA 98195-7115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A107739 (CA) |
| Diagnostic Radiology Physician Primary | 2085R0202X | MD60217663 (WA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1063611275
Jalal B. Andre, MD's National Provider Identifier is 1063611275, issued on Jul 17, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Seattle, WA. The record was last updated on Jun 18, 2012.