Provider Demographics
NPI:1194876409
Name:JABBAR, MUHAMMAD A (MD)
Entity type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:A
Last Name:JABBAR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1085 S LINDEN RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3421
Mailing Address - Country:US
Mailing Address - Phone:810-262-9773
Mailing Address - Fax:810-262-6207
Practice Address - Street 1:806 TUURI PL
Practice Address - Street 2:HURLEY CHILDRENS CLINIC
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-2465
Practice Address - Country:US
Practice Address - Phone:810-257-9773
Practice Address - Fax:810-762-7030
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2013-05-02
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Provider Licenses
StateLicense IDTaxonomies
MI43010606712080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2878427Medicaid
MI2878427Medicaid