MEDICARE: JAFAR JAMIL ABUNASSER

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	P7235	TX
2	207RP1001X	Pulmonary Disease Physician	35094872	OH
3	207RP1001X	Pulmonary Disease Physician	P7235	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093914327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAFAR JAMIL ABUNASSER

Provider Business Mailing Address
First Line	:	9500 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0001
Country	:	US
Telephone Number	:	216-587-8830
Fax Number	:	216-587-8944

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-1800
Country	:	US
Telephone Number	:	216-587-8830
Fax Number	:	216-587-8944

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

Provider Enumeration Date	:	07/17/2007
Last Update Date	:	12/31/2019

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Directions to “ JAFAR JAMIL ABUNASSER ” Practice Location

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