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NPI Code Detail

MEDICARE: JAWANZA NYAHUMA JABARI M.D.

MEDICARE: JAWANZA NYAHUMA JABARI 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
1207L00000XAnesthesiology Physician2020-03599NC
2207L00000XAnesthesiology Physician228274NY

Other Identifiers

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

General Provider Information

NPI Number : 1144294943
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAWANZA NYAHUMA JABARI M.D.
Provider Business Mailing Address
First Line : 1305 WALT WHITMAN RD STE 300
Second Line :
City : MELVILLE
State : NY
Zip : 11747-4300
Country : US
Telephone Number : 866-306-6007
Fax Number : 704-248-5537
Provider Business Practice Location Address
First Line : 500 JEFFERSON ST
Second Line :
City : WHITEVILLE
State : NC
Zip : 28472-3634
Country : US
Telephone Number : 910-642-8011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2006
Last Update Date : 06/20/2024

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Directions to “ JAWANZA NYAHUMA JABARI M.D.” Practice Location

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