Provider Demographics
NPI:1063694552
Name:JAMIL, RODNEY M (MD)
Entity type:Individual
Prefix:
First Name:RODNEY
Middle Name:M
Last Name:JAMIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RAED
Other - Middle Name:
Other - Last Name:JAMIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2008 HEALTH CAMPUS DR
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:VA
Mailing Address - Zip Code:22801-8679
Mailing Address - Country:US
Mailing Address - Phone:540-689-7000
Mailing Address - Fax:540-689-7001
Practice Address - Street 1:2008 HEALTH CAMPUS DR
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:VA
Practice Address - Zip Code:22801-8679
Practice Address - Country:US
Practice Address - Phone:540-689-7000
Practice Address - Fax:540-689-7001
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAAN1992975H115207R00000X
NJ25MA11251300207RH0003X
PAMD450611207RH0003X
VA0101250002207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102889746Medicaid
PA102889746Medicaid