Jabati, Sallu M.
Jabati, Sallu M. is an sole proprietor health care provider with primary practice located at 3130 N Arizona Ave Ste 112 , Chandler AZ 85225-7163. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Jabati, Sallu M. can be contacted via phone (480) 292-8579.Contact Information
Primary practice address
3130 N Arizona Ave Ste 112
Chandler AZ 85225-7163
Phone: (480) 292-8579
Fax: (480) 306-6029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 36200 | Arizona |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36200 | Arizona |
Profile Details
| NPI number | 1235104431 |
|---|---|
| LBN Legal business name | Jabati, Sallu M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Sep 14th, 2022 - about 3 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 | 1235104431 | NPPES |
| Arizona | MEDICAID | 299505 |
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