Jadallah, Yazan K

Jadallah, Yazan K is an individual health care provider with primary practice located at 1044 Belmont Avenue , Youngstown OH 44501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Jadallah, Yazan K can be contacted via phone (330) 746-7211.

Contact Information

Primary practice address
1044 Belmont Avenue Youngstown OH 44501
Phone: (330) 746-7211
Fax: (330) 480-3916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35 079101J Ohio

Profile Details

NPI number 1043295082
LBN Legal business name Jadallah, Yazan K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jan 10th, 2008 - about 16 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 1043295082 NPPES
Ohio Other 101307865-0003 PENNSYLVANIA MEDICAID
Ohio Other 101307865-0002 PENNSYLVANIA MEDICAID
Ohio MEDICAID 2258435 PENNSYLVANIA MEDICAID
Ohio Other P00375999 PENNSYLVANIA MEDICAID
Ohio Other 101307865-0001 PENNSYLVANIA MEDICAID

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