Provider Demographics
NPI:1639102379
Name:JABIR, AMEENA R (MD)
Entity Type:Individual
Prefix:
First Name:AMEENA
Middle Name:R
Last Name:JABIR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:100 NEALE AVENUE ROUTE 403 SOUTH
Mailing Address - Street 2:PO BOX 268
Mailing Address - City:MARION CENTER
Mailing Address - State:PA
Mailing Address - Zip Code:15759
Mailing Address - Country:US
Mailing Address - Phone:724-397-2326
Mailing Address - Fax:724-397-2420
Practice Address - Street 1:100 NEALE AVENUE
Practice Address - Street 2:MAHONING MEDICAL CENTER
Practice Address - City:MARION CENTER
Practice Address - State:PA
Practice Address - Zip Code:15759
Practice Address - Country:US
Practice Address - Phone:724-397-2326
Practice Address - Fax:724-397-2420
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD060343L2080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016126710010Medicaid
PA620062OtherBLUE SHIELD
PA88984OtherUNISON HEALTH PLAN
PA0016126710008Medicaid
PA250099OtherUPMC FOR YOU
PA250099OtherUPMC HEALTH CARE
PAG63564OtherHEALTH ASSURANCE
PAP000084OtherGATEWAY HEALTH PLAN
PA88984OtherUNISON HEALTH PLAN