Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFERY JAWNI DORMU, D.O.
ActiveDR. JEFFERY JAWNI DORMU, D.O. is a Vascular Surgery healthcare provider located in LAUREL, Maryland. NPI 1366430316 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · LAUREL, MD
Registration Details
- NPI Number
- 1366430316
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2005 (20.650537081853 yrs)
- Last Updated
- Jul 18, 2012
- Licenses
-
25MB07611900 (NJ)H0065639 (MD)DO034245 (DC)H0065639 (MD)D0034245 (DC)
Practice Information
- Address
-
8730 CHERRY LANESUITE 10LAUREL, MD, 20707Browse MD providers · Browse ZIP 20707
- Phone
- 3014971590
- Fax
- 2403344781
- Primary Specialty
-
Vascular Surgery
2086S0129X
- Additional Specialty
- General Surgery
- Additional Specialty
- General Surgery
- Additional Specialty
- Vascular Surgery
- Additional Specialty
- Vascular Surgery
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.