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NPI Code Detail

MEDICARE: DR. JARED MICHAEL HERBERT MD

MEDICARE: DR. JARED MICHAEL HERBERT 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1841877891
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JARED MICHAEL HERBERT MD
Provider Business Mailing Address
First Line : 600 N WOLFE ST
Second Line :
City : BALTIMORE
State : MD
Zip : 21287-0005
Country : US
Telephone Number : 410-955-9446
Fax Number : 410-367-3010
Provider Business Practice Location Address
First Line : 1265 UNION AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38104-3415
Country : US
Telephone Number : 901-516-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2021
Last Update Date : 06/09/2026

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