Healthcare Provider Details

I. General information

NPI: 1073141479
Provider Name (Legal Business Name): JASHAN JABBAAR-HILL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 05/17/2023
Certification Date: 05/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

891 E EXCHANGE ST
AKRON OH
44306-1127
US

IV. Provider business mailing address

215 W BOWERY ST
AKRON OH
44308-1069
US

V. Phone/Fax

Practice location:
  • Phone: 216-551-4025
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.148166
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: