Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 4301060671 | MI |
NPI | 1194876409 |
---|---|
Provider Name | Dr. Muhammad A Jabbar |
First Address | Flint, MI 48532-3421 |
Second Address | Flint, MI 48503-2465 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2007 |
Last Update Date | 02/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2878427 | (05) | MI |
F39586 | (02) |