Provider Demographics
NPI:1285452425
Name:JABBOUR, NADA
Entity type:Individual
Prefix:
First Name:NADA
Middle Name:
Last Name:JABBOUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AMAN HOSPITAL
Mailing Address - Street 2:POBOX 08199
Mailing Address - City:DOHA
Mailing Address - State:CA
Mailing Address - Zip Code:08199
Mailing Address - Country:US
Mailing Address - Phone:615-887-1012
Mailing Address - Fax:
Practice Address - Street 1:AMAN HOSPITAL
Practice Address - Street 2:POBOX 08199
Practice Address - City:DOHA
Practice Address - State:CA
Practice Address - Zip Code:08199
Practice Address - Country:US
Practice Address - Phone:615-887-1012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0047385207WX0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases Specialist