Basic Information
Provider Information
NPI: 1811186067
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHALABI
FirstName: JAMAL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
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Mailing Information
Address1: 4117 N ROXBORO ST
Address2:  
City: DURHAM
State: NC
PostalCode: 277042121
CountryCode: US
TelephoneNumber: 9196848111
FaxNumber:  
Practice Location
Address1: 2100 ERWIN RD
Address2:  
City: DURHAM
State: NC
PostalCode: 277100001
CountryCode: US
TelephoneNumber: 9196848111
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/23/2007
LastUpdateDate: 10/23/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X NCY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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