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DR. MUTAZ SHURAHABEEL AHMED OMBADA MD NPI 1336597202


NPI Information

NPI: 1336597202
Provider Name: DR. MUTAZ SHURAHABEEL AHMED OMBADA, MD
Classification: Psychiatry & Neurology - 2084A2900X
Entity Type: Individual

Specialization: Neurocritical Care

PECOS Registration: Yes

Address:
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
Phone: (904) 953-2000
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DR. Mutaz Shurahabeel Ahmed Ombada, MD is a neurocritical care psychiatry neurology in Jacksonville, FL with 13 years of experience. The provider is the medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient. They may also provide consultative services for these patients as requested within the health system. DR. Mutaz Shurahabeel Ahmed Ombada, MD NPI is 1336597202. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224-865
Phone: (904) 953-2000
Fax: (304) 384-8239

The NPI 1336597202 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/1/2016 and was last updated on 7/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0200XInternal MedicineCritical Care Medicine31171WEST VIRGINIANo
22084A2900XPsychiatry & NeurologyNeurocritical CareME159445FLORIDAYes
3207R00000XInternal Medicine31171WEST VIRGINIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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