Provider Demographics
NPI:1609063734
Name:JABI, ABDULATIF (MD)
Entity Type:Individual
Prefix:DR
First Name:ABDULATIF
Middle Name:
Last Name:JABI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1162 W PIONEER PKWY
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-6367
Mailing Address - Country:US
Mailing Address - Phone:469-850-6931
Mailing Address - Fax:
Practice Address - Street 1:1162 W PIONEER PKWY
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-6367
Practice Address - Country:US
Practice Address - Phone:469-850-6931
Practice Address - Fax:469-242-9825
Is Sole Proprietor?:No
Enumeration Date:2007-10-02
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS3914207R00000X, 207R00000X
MI4301087919207R00000X
OK37670207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ136071OtherPTAN
AZ439527Medicaid