Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jamal Atalla, MD

Individual provider Nephrology Physician · NPI 1609861566

Jamal Atalla, MD is a Nephrology in Phoenix, Arizona. Qualified in 1991, 35 years ago. Practices with Akdhc LLC, a 126-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
35
Licensed in
AZ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5040 N 15th Ave Ste 107
Phoenix, AZ 85015-3328
Phone: (602) 200-9711
Fax: (602) 200-9712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 35493 (AZ)

Record details

NPI number1609861566
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 16, 2005
Last updated in NPPESJune 26, 2018
Mailing address6622 N 91st Ave, Ste 220, Glendale, AZ 85305-2569

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Akdhc Llc — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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