IndividualActive
Jalil Nasibli, MD
NPI 1497249692 · Clinical Pathology Physician · Philadelphia, PA
Provider details
- NPI number
- 1497249692
- Entity type
- Individual
- Primary specialty
- Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD476462 (PA)
Practice location
3401 N Broad St
Philadelphia, PA 19140-5189
Phone: (215) 707-4353
Fax: (215) 707-2781
Mailing address
3500 N Broad St
Philadelphia, PA 19140-4106
Registry dates
- Enumerated
- 2018-06-20
- Last updated
- 2024-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.