Provider Demographics
NPI:1669107173
Name:JABR, ABDULLA MOHAMMED KHALED (MB, BCH, BAO)
Entity type:Individual
Prefix:DR
First Name:ABDULLA
Middle Name:MOHAMMED KHALED
Last Name:JABR
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Gender:M
Credentials:MB, BCH, BAO
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Mailing Address - Street 1:115 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-6342
Mailing Address - Country:US
Mailing Address - Phone:508-383-1555
Mailing Address - Fax:508-872-4794
Practice Address - Street 1:115 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-6342
Practice Address - Country:US
Practice Address - Phone:508-383-1555
Practice Address - Fax:508-872-4794
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2947682085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology