Basic Information
| Provider Information | |||||||||
| NPI: | 1942585971 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JALEEL | ||||||||
| FirstName: | MOHAMMAD | ||||||||
| MiddleName: | ABDUL | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3400 LEBNON PIKE | ||||||||
| Address2: | 3400, LEBNON PIKE | ||||||||
| City: | MURFREESBORO | ||||||||
| State: | TN | ||||||||
| PostalCode: | 371291236 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6158676000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1005 ELM CT | ||||||||
| Address2: | DR. D.B. TODD JR. BLVD | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372144212 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153276350 | ||||||||
| FaxNumber: | 6153276260 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/21/2011 | ||||||||
| LastUpdateDate: | 11/20/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/18/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 723 | TN | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.