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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063460400 NPPES
Missouri Other 712031 HEALTHLINK
Missouri MEDICAID 207486408 HEALTHLINK
Missouri Other 199404 HEALTHLINK

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