Provider Demographics
NPI:1710915392
Name:JUMAA, M SAID (MD)
Entity Type:Individual
Prefix:MR
First Name:M
Middle Name:SAID
Last Name:JUMAA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:M.
Other - Middle Name:SAID
Other - Last Name:JUMAA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1001 PENNSYLVANIA AVE
Mailing Address - Street 2:CENTRAL CLINIC BILLING
Mailing Address - City:OTTUMWA
Mailing Address - State:IA
Mailing Address - Zip Code:52501-6427
Mailing Address - Country:US
Mailing Address - Phone:641-684-3053
Mailing Address - Fax:641-683-2855
Practice Address - Street 1:312 E ALTA VISTA AVE
Practice Address - Street 2:PSYCHIATRIC MEDICINE SUITE
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501-1413
Practice Address - Country:US
Practice Address - Phone:641-683-4454
Practice Address - Fax:641-683-4450
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAAPPLIED FOR2084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0493478Medicaid
IAAPPLIED FOROtherIOWA BCBS #
IA19778OtherBCBS
IAAPPLIED FOROtherIOWA BCBS #
IA19778OtherBCBS