Provider Demographics
NPI:1548429632
Name:JABBAR, ADNAN ABDUL (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ADNAN
Middle Name:ABDUL
Last Name:JABBAR
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 CARMAN AVE
Mailing Address - Street 2:APT# 11J
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-1147
Mailing Address - Country:US
Mailing Address - Phone:516-633-7119
Mailing Address - Fax:516-390-9890
Practice Address - Street 1:1365C CLIFTON RD NE
Practice Address - Street 2:WINSHIP CANCER INSTITUTE, HEME/ONC, SUITE # 4082
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1013
Practice Address - Country:US
Practice Address - Phone:404-778-1351
Practice Address - Fax:404-778-5048
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-04
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program