Provider Demographics
NPI:1497340525
Name:JABBEHDARI, SAYENA (MD-MPH)
Entity Type:Individual
Prefix:DR
First Name:SAYENA
Middle Name:
Last Name:JABBEHDARI
Suffix:
Gender:F
Credentials:MD-MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 S ASHLAND AVE APT 608
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-4087
Mailing Address - Country:US
Mailing Address - Phone:224-258-5615
Mailing Address - Fax:
Practice Address - Street 1:4301 W MARKHAM ST # 523
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7101
Practice Address - Country:US
Practice Address - Phone:001-686-8294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program