Provider Demographics
NPI:1568082741
Name:JAAFAR, AMEENA OSAMA H (BDS)
Entity Type:Individual
Prefix:
First Name:AMEENA
Middle Name:OSAMA H
Last Name:JAAFAR
Suffix:
Gender:F
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8226 IBRAHIM ALKHUZAMA - MUDHAINIB
Mailing Address - Street 2:UNIT NO 1
Mailing Address - City:MADINAH
Mailing Address - State:MADINAH
Mailing Address - Zip Code:42364-3339
Mailing Address - Country:SA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:650 W BALTIMORE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1510
Practice Address - Country:US
Practice Address - Phone:141-070-6710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program