JAMAL D DABBAH M.D. NPI 1427304963

NPI Information

NPI: 1427304963
Provider Name: JAMAL D DABBAH, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2150 S COUNTRY CLUB DR STE 27
MESA, AZ
ZIP 85210
Phone: (623) 252-0881
Get Directions

Jamal D Dabbah, M.D. is a family medicine in Mesa, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Jamal D Dabbah, M.D. NPI is 1427304963. 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:

2150 S COUNTRY CLUB DR STE 27
MESA, AZ
ZIP 85210-860
Phone: (623) 252-0881
Fax: (602) 313-1914

The NPI 1427304963 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 8/2/2012 and was last updated on 12/3/2019.

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	License Number	License State	Primary
1	101Y00000X	Counselor			No
2	102L00000X	Psychoanalyst			No
3	103K00000X	Behavior Analyst			No
4	103T00000X	Psychologist			No
5	133N00000X	Nutritionist			No
6	133V00000X	Dietitian, Registered			No
7	171M00000X	Case Manager/Care Coordinator			No
8	207R00000X	Internal Medicine	51454	ARIZONA	No
9	208100000X	Physical Medicine & Rehabilitation	51454	ARIZONA	No
10	208D00000X	General Practice	51454	ARIZONA	No
11	224Z00000X	Occupational Therapy Assistant			No
12	225100000X	Physical Therapist	51454	ARIZONA	No
13	225C00000X	Rehabilitation Counselor			No
14	225X00000X	Occupational Therapist	51454	ARIZONA	No
15	207Q00000X	Family Medicine	51454	ARIZONA	Yes

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
1	FD5697416	OTHER	ARIZONA	DEA LICENSE
2	51454	OTHER	ARIZONA	MD LICENSE

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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