Provider Demographics
NPI:1972316982
Name:JABAI, AMIRA (BS)
Entity type:Individual
Prefix:
First Name:AMIRA
Middle Name:
Last Name:JABAI
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 NW SHERIDAN RD STE 4
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-6505
Mailing Address - Country:US
Mailing Address - Phone:580-730-8031
Mailing Address - Fax:
Practice Address - Street 1:502 NW SHERIDAN RD STE 4
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-6505
Practice Address - Country:US
Practice Address - Phone:580-730-8031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator