Provider Demographics
NPI:1417436023
Name:JAMAL, SHAKEEL MUHAMMAD (MD)
Entity type:Individual
Prefix:
First Name:SHAKEEL
Middle Name:MUHAMMAD
Last Name:JAMAL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1160 MALL DR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-8128
Mailing Address - Country:US
Mailing Address - Phone:575-521-3270
Mailing Address - Fax:575-521-3504
Practice Address - Street 1:1160 MALL DR
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-8128
Practice Address - Country:US
Practice Address - Phone:575-521-3270
Practice Address - Fax:575-521-3504
Is Sole Proprietor?:No
Enumeration Date:2018-08-14
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2024-0862207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology