MR. JAFER NASSER GHERAIBEH M.D. NPI 1376527549

NPI Information

  • NPI: 1376527549
  • Provider Name: MR. JAFER NASSER GHERAIBEH, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 500 THURGOOD MARSHALL HWY
    KINGSTREE, SC
    ZIP 29556
  • Phone: (843) 355-1969

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NPI Details

MR. Jafer Nasser Gheraibeh, M.D. is a specialist in Kingstree, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Jafer Nasser Gheraibeh, M.D. NPI is 1376527549. 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:

500 THURGOOD MARSHALL HWY
KINGSTREE, SC
ZIP 29556-143
Phone: (843) 355-1969
Fax: (843) 355-1869

The enumeration date for this NPI number is 12/1/2005 and was last updated on 7/9/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist10718SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1107182MEDICAIDSOUTH CAROLINA

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: 3/30/2025

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