Provider Demographics
NPI:1588709620
Name:BROWN, JAMEEL AHMAD (MD)
Entity type:Individual
Prefix:
First Name:JAMEEL
Middle Name:AHMAD
Last Name:BROWN
Suffix:
Gender:
Credentials:MD
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Mailing Address - Street 1:9601 BAPTIST HEALTH DR
Mailing Address - Street 2:SUITE 690
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6328
Mailing Address - Country:US
Mailing Address - Phone:501-227-8422
Mailing Address - Fax:501-537-1079
Practice Address - Street 1:9601 BAPTIST HEALTH DR
Practice Address - Street 2:SUITE 690
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6328
Practice Address - Country:US
Practice Address - Phone:501-227-8422
Practice Address - Fax:501-537-1079
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV18919207ZD0900X
CAC166369207ZD0900X
AZ58509207ZD0900X
ARE-6071207ZD0900X, 207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
5H689Medicare PIN