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NPI Code Detail

MEDICARE: DR. ABDUL JABBAR MD

MEDICARE:  DR. ABDUL  JABBAR  MD
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
1207RG0100XGastroenterology Physician01062676AIN
2207RG0100XGastroenterology Physician35466KY

Other Identifiers

General Provider Information

NPI Number : 1437141835
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABDUL JABBAR MD
Provider Business Mailing Address
First Line : PO BOX 381468
Second Line :
City : GERMANTOWN
State : TN
Zip : 38183-1468
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2630 GRANT LINE RD
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-4053
Country : US
Telephone Number : 502-888-1988
Fax Number : 812-944-3594
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 02/16/2026

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Directions to “ DR. ABDUL JABBAR MD” Practice Location

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