Basic Information
| Provider Information | |||||||||
| NPI: | 1225565914 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AL-NAQEEB | ||||||||
| FirstName: | JINAN | ||||||||
| MiddleName: | MURTADHA HASAN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6710 OXON HILL RD | ||||||||
| Address2: | |||||||||
| City: | OXON HILL | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207451117 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3012927270 | ||||||||
| FaxNumber: | 3012038248 | ||||||||
| Practice Location | |||||||||
| Address1: | 6710 OXON HILL RD | ||||||||
| Address2: | |||||||||
| City: | OXON HILL | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207451117 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3012927270 | ||||||||
| FaxNumber: | 3012038248 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/12/2017 | ||||||||
| LastUpdateDate: | 09/30/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/30/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 4301112148 | MI | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.