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General NPI Number Information
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NPI Number | 1710915392
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Entity Type | Individual
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Provider Name | M SAID JUMAA M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 12/12/2007
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Provider Practice Location Address
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Address Line | 312 E ALTA VISTA AVE PSYCHIATRIC MEDICINE SUITE
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City | OTTUMWA
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State | IA
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Zip | 52501-1413
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Country | US
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Telephone | 641-683-4454
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Fax | 641-683-4450
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Provider Business Mailing Address
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Address Line | 1001 PENNSYLVANIA AVE CENTRAL CLINIC BILLING
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City | OTTUMWA
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State | IA
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Zip | 52501-6427
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Country | US
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Telephone | 641-684-3053
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Fax | 641-683-2855
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | APPLIED FOR
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | APPLIED FOR
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License Number State | IA
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