Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | MD.207759 | LA |
Y | 207RI0011X | Interventional Cardiology | MD.207759 | LA |
NPI | 1023374451 |
---|---|
Provider Name | Dr. Ahmad Yousef Jabbar |
First Address | Harvey, LA 70058-3582 |
Second Address | Harvey, LA 70058-3582 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2012 |
Last Update Date | 31/07/2019 |