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1447770276

NPI Code Detail

MEDICARE: OMAR A JARADAT MD

MEDICARE: OMAR A JARADAT 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
1	207R00000X	Internal Medicine Physician	R10814	IA
2	207RP1001X	Pulmonary Disease Physician	MD-52953	IA
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	MD-52953	IA

General Provider Information

NPI Number	:	1447770276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OMAR A JARADAT MD

Provider Business Mailing Address
First Line	:	PO BOX 674721
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75267-4721
Country	:	US
Telephone Number	:	515-643-2519
Fax Number	:	515-643-7901

Provider Business Practice Location Address
First Line	:	411 LAUREL ST STE A120
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50314-3027
Country	:	US
Telephone Number	:	515-643-7900
Fax Number	:	515-643-7901

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

Provider Enumeration Date	:	06/22/2017
Last Update Date	:	04/06/2026

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Directions to “ OMAR A JARADAT MD” Practice Location

Language	Start Address	Practice Location

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