Provider Demographics
NPI:1598059644
Name:JAMALI, LAYLI (MD)
Entity type:Individual
Prefix:
First Name:LAYLI
Middle Name:
Last Name:JAMALI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1199 BUSH ST STE 650
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-5900
Mailing Address - Country:US
Mailing Address - Phone:415-379-2980
Mailing Address - Fax:415-346-6025
Practice Address - Street 1:1199 BUSH ST STE 650
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5900
Practice Address - Country:US
Practice Address - Phone:415-379-2980
Practice Address - Fax:415-346-6025
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA249099207R00000X, 390200000X
RILP03240282N00000X
CAA141828207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No282N00000XHospitalsGeneral Acute Care Hospital
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program