Healthcare Provider Details

I. General information

NPI: 1366187742
Provider Name (Legal Business Name): EMILY ANN JABERI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY ANN BUSH MD

II. Dates (important events)

Enumeration Date: 05/01/2022
Last Update Date: 07/03/2025
Certification Date: 06/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 PENN AVENUE, CHILDREN'S HOSPITAL OF PITTSBURGH
PITTSBURGH PA
15224
US

IV. Provider business mailing address

3600 FORBES AVENUE FORBES TOWER PLAZA LEVEL SUITE 140
PITTSBURGH PA
15213
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-6236
  • Fax:
Mailing address:
  • Phone: 315-267-6059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number0116036627
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number0101279630
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: