MEDICARE: DR. ANWAR JABOUR DDS

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1225458011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANWAR JABOUR DDS

Provider Business Mailing Address
First Line	:	11457 MAYFIELD RD
Second Line	:	APT# 1052
City	:	CLEVELAND
State	:	OH
Zip	:	44106-5912
Country	:	US
Telephone Number	:	813-760-4012
Fax Number	:

Provider Business Practice Location Address
First Line	:	11457 MAYFIELD RD
Second Line	:	APT# 1052
City	:	CLEVELAND
State	:	OH
Zip	:	44106
Country	:	US
Telephone Number	:	813-760-4012
Fax Number	:

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

Provider Enumeration Date	:	04/21/2014
Last Update Date	:	04/22/2014

Similar Medicare Providers

1922621770 — KRYSTAL MOORE
Practice Location Address:

1396 E 93RD ST
CLEVELAND, OH
44106-1006

Practice Phone: 216-800-1835
Practice Fax:

1811587025 — DR. IAN CANEPA DMD
Practice Location Address:

10900 EUCLID AVE
CLEVELAND, OH
44106-1712

Practice Phone: 216-368-3249
Practice Fax:

1083579759 — TAYLOR BRODIE RDN, LD
Practice Location Address:

11100 EUCLID AVE
CLEVELAND, OH
44106-1716

Practice Phone: 216-844-1000
Practice Fax:

1508721127 — CONNOR BLAKE HANSON RN
Practice Location Address:

10701 EAST BLVD
CLEVELAND, OH
44106-1702

Practice Phone: 216-791-3800
Practice Fax:

1528260056 — BOBARA PASTOR CRNA
Practice Location Address:

11100 EUCLID AVE
CLEVELAND, OH
44106

Practice Phone: 216-844-7330
Practice Fax:

1629465117 — ALI SYED
Practice Location Address:

10900 EUCLID AVE
CLEVELAND, OH
44106

Practice Phone: 216-368-3200
Practice Fax:

1427892959 — RACHEL GORDON PA
Practice Location Address:

10900 EUCLID AVE
CLEVELAND, OH
44106-1712

Practice Phone: 216-368-0575
Practice Fax:

Directions to “ DR. ANWAR JABOUR DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.