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NPI Code Detail

MEDICARE: DR. LINDA S JABBARI DO

MEDICARE: DR. LINDA S JABBARI DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician1873IA
2207Q00000XFamily Medicine Physician2007035506MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00625555OTHERMORAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
418629OTHERIABC/BS

General Provider Information

NPI Number : 1013997493
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA S JABBARI DO
Provider Business Mailing Address
First Line : 54 HOSPITAL DR
Second Line :
City : OSAGE BEACH
State : MO
Zip : 65065-3050
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1930 N BUSINESS ROUTE 5
Second Line : UNIT 1A
City : CAMDENTON
State : MO
Zip : 65020-2659
Country : US
Telephone Number : 573-346-5624
Fax Number : 573-346-1957
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 07/22/2009

Similar Medicare Providers

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Practice Location Address:
1930 N BUSINESS ROUTE 5 , UNIT 1A
CAMDENTON, MO
65020-2659
Practice Phone: 573-346-5624
Practice Fax: 573-346-1957
1548242894 — CAROLINE ELIZABETH CAMPBELL M.D.
Practice Location Address:
1930 N BUSINESS ROUTE 5
CAMDENTON, MO
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Practice Fax: 573-346-1957
1407960479 — LAKE REGIONAL HEALTH SYSTEM
Practice Location Address:
1930-C NORTH BUSINESS ROUTE 5
CAMDENTON, MO
65020-2659
Practice Phone: 573-346-2300
Practice Fax: 573-346-8409
1548434384 — DR. SHARI LEUWERKE NEILL MD
Practice Location Address:
1930 N BUSINESS ROUTE 5 , UNIT 1A
CAMDENTON, MO
65020-2659
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Practice Fax: 573-346-1957
1013181601 — JAMES J.L. NEILL M.D.
Practice Location Address:
1930 N BUSINESS ROUTE 5 , UNIT 1A
CAMDENTON, MO
65020-2659
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Practice Fax: 573-346-1957
1669775771 — ROBERT OLIVER MEYER FNP
Practice Location Address:
1930 N BUSINESS ROUTE 5 , UNIT 1A
CAMDENTON, MO
65020-2659
Practice Phone: 573-346-5624
Practice Fax: 573-346-1957

Directions to “ DR. LINDA S JABBARI DO” Practice Location

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