Provider Demographics
NPI:1225602063
Name:JABER, MOHAMMAD IBRAHIM M (MD)
Entity Type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:IBRAHIM M
Last Name:JABER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:INTERNAL MEDICINE RESIDENCY PROGRAM RUHS-MC
Mailing Address - Street 2:26520 CACTUS AVENUE CPC SUITE 201
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92555
Mailing Address - Country:US
Mailing Address - Phone:951-486-5908
Mailing Address - Fax:951-486-5910
Practice Address - Street 1:INTERNAL MEDICINE RESIDENCY PROGRAM RUHS-MC
Practice Address - Street 2:26520 CACTUS AVENUE CPC SUITE 201
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92555
Practice Address - Country:US
Practice Address - Phone:951-486-5908
Practice Address - Fax:951-486-5910
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-17
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program