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Jamal Jon Derakhshan

  • Male

Medical Specialty

Professional ID

  • NPI: 1134410426
  • PECOS ID: 6709182751
  • Enrollment ID: I20170607001262
  • Credential(MD, DO, DPM):
  • Medical School: Case Western Reserve University School Of Medicine
  • Medical School Graduation Year: 2011

Hospital Service

  • Hospital CCN1: 390111
  • Business Name (LBN)1: Hospital Of Univ Of Pennsylvania
  • Hospital CCN2: 390223
  • Business Name (LBN)2: Penn Presbyterian Medical Center
  • Hospital CCN3: 390226
  • Business Name (LBN)3: Pennsylvania Hospital

Medical Practices

  • Organization Name: University Of Penn Medical Group
  • Group Practice ID assigned by PECOS: 6204730955
  • Number of Group Practice member: 2279

Location

  • Address1: 3400 Spruce St
  • Address2: Department Of Radiology
  • City: Philadelphia
  • State: Pennsylvania
  • Zip Code: 19104
  • Phone Number: (215)662-3000

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):