| Doctor Name: | DR. AHMAD KHALED JADALLAH |
| NPI Number: | 1336182526 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 35069084 |
| Business Practice Address: | 121 Northwest Ave Tallmadge, OH - 442781809 |
| Business Phone Number: | 3306331352 |
| Business Fax Number: | 3306336068 |
| Mailing Address: | 121 Northwest Ave, TALLMADGE |
| State: | OH |
| Postal Code: | 442781809 |
| Phone Number: | 3306331352 |
| Fax Number: | 3306336068 |
| NPI Enumeration Date: | 06/14/2006 |
| NPI Last Update Date: | 08/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | 35069084 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |