Provider Demographics
NPI:1467615971
Name:DELGADO-THAI, JAMAEL THERESA (MD)
Entity type:Individual
Prefix:
First Name:JAMAEL
Middle Name:THERESA
Last Name:DELGADO-THAI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PHOENIX INDIAN MEDICAL CENTER - PRIMARY CARE
Mailing Address - Street 2:4212 N. 16TH ST
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016
Mailing Address - Country:US
Mailing Address - Phone:602-263-1200
Mailing Address - Fax:602-200-5383
Practice Address - Street 1:PHOENIX INDIAN MEDICAL CENTER
Practice Address - Street 2:4212 N. 16TH ST
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016
Practice Address - Country:US
Practice Address - Phone:602-263-1200
Practice Address - Fax:602-200-5383
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2021-11-19
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Provider Licenses
StateLicense IDTaxonomies
AZ70781207Q00000X
AZAZ44473207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine