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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. FARRUKH MAHFUZ JALISI, MD

Active

DR. FARRUKH MAHFUZ JALISI, MD is a Hospice and Palliative Medicine healthcare provider located in GLEN BURNIE, Maryland. NPI 1174621346 is currently active in the NPPES registry. Verify at CMS.

Hospice and Palliative Medicine · GLEN BURNIE, MD

Registration Details

NPI Number
1174621346
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2006 (19.932700211422 yrs)
Last Updated
Dec 27, 2024
Licenses
20266 (WV)
241683 (NY)
20266 (WV)
D84429 (MD)
0101247118 (VA)

Practice Information

Address
7845 OAKWOOD RD STE 106
GLEN BURNIE, MD, 210614256
Browse MD providers · Browse ZIP 21061
Phone
4107605100
Fax
4107605932
Primary Specialty
Hospice and Palliative Medicine
207RI0011X
Additional Specialty
Cardiovascular Disease
Additional Specialty
Cardiovascular Disease
Additional Specialty
Cardiovascular Disease
Additional Specialty
Cardiovascular Disease

Other Hospice and Palliative Medicine Providers in GLEN BURNIE, MD

Name Credential NPI
KELLY L MILLER M.D. 1205897287
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.