Ibdah, Jamal Ahmad
Ibdah, Jamal Ahmad is an individual health care provider with primary practice located at 101 S Fairview Rd , Columbia MO 65203-7637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Ibdah, Jamal Ahmad can be contacted via phone (573) 884-7600.Contact Information
Primary practice address
101 S Fairview Rd
Columbia MO 65203-7637
Phone: (573) 884-7600
Fax: (573) 884-8200
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 2005016790 | Missouri |
Profile Details
NPI number | 1063460400 |
---|---|
LBN Legal business name | Ibdah, Jamal Ahmad |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 5th, 2006 |
Last updated | Sep 2nd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063460400 | NPPES |
Missouri | Other | 712031 | HEALTHLINK |
Missouri | MEDICAID | 207486408 | HEALTHLINK |
Missouri | Other | 199404 | HEALTHLINK |
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