MEDICARE: DR. AHMAD YOUSEF JABBAR M.D.

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
1	207RC0000X	Cardiovascular Disease Physician	MD.207759	LA
2	207RI0011X	Interventional Cardiology Physician	MD.207759	LA

General Provider Information

NPI Number	:	1023374451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AHMAD YOUSEF JABBAR M.D.

Provider Business Mailing Address
First Line	:	1901 MANHATTAN BLVD STE 200
Second Line	:
City	:	HARVEY
State	:	LA
Zip	:	70058-3582
Country	:	US
Telephone Number	:	504-354-5252
Fax Number	:	504-354-5253

Provider Business Practice Location Address
First Line	:	1901 MANHATTAN BLVD STE 200
Second Line	:
City	:	HARVEY
State	:	LA
Zip	:	70058-3582
Country	:	US
Telephone Number	:	504-354-5252
Fax Number	:	504-354-5253

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2012
Last Update Date	:	07/31/2019

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