Provider Demographics
NPI:1730201773
Name:HAFIZ, JAMIEL SHARIEF (LPA, LAC)
Entity type:Individual
Prefix:MR
First Name:JAMIEL
Middle Name:SHARIEF
Last Name:HAFIZ
Suffix:
Gender:M
Credentials:LPA, LAC
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Mailing Address - Street 1:14 STONE SPRING CT
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-5367
Mailing Address - Country:US
Mailing Address - Phone:410-227-4939
Mailing Address - Fax:877-735-6141
Practice Address - Street 1:8838 COURT AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-4614
Practice Address - Country:US
Practice Address - Phone:410-227-4939
Practice Address - Fax:877-735-6141
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDUO1334171100000X
MDC0004363363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No171100000XOther Service ProvidersAcupuncturist