Provider Demographics
NPI:1891723375
Name:JADALI, MICHAEL M (DO , RPH)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:M
Last Name:JADALI
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Gender:M
Credentials:DO , RPH
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Mailing Address - Street 1:3097 MOORPARK AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2543
Mailing Address - Country:US
Mailing Address - Phone:408-244-7246
Mailing Address - Fax:408-244-7248
Practice Address - Street 1:3097 MOORPARK AVE STE 200
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2543
Practice Address - Country:US
Practice Address - Phone:408-244-7246
Practice Address - Fax:408-244-7248
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A9504208100000X, 2081P2900X, 2081S0010X, 204C00000X, 204D00000X, 2081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM