Provider Demographics
NPI:1578076451
Name:DR JEHA LLC
Entity Type:Organization
Organization Name:DR JEHA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZEINA
Authorized Official - Middle Name:
Authorized Official - Last Name:JEHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-228-5348
Mailing Address - Street 1:16295 WILLOW CREEK ROAD
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958
Mailing Address - Country:US
Mailing Address - Phone:302-503-4200
Mailing Address - Fax:302-309-0111
Practice Address - Street 1:16295 WILLOW CREEK ROAD
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958
Practice Address - Country:US
Practice Address - Phone:302-503-4200
Practice Address - Fax:302-309-0111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-14
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty