Basic Information
| Provider Information | |||||||||
| NPI: | 1730231218 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JABER | ||||||||
| FirstName: | ADEEB | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 64916 | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212644916 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4434816482 | ||||||||
| FaxNumber: | 4434816515 | ||||||||
| Practice Location | |||||||||
| Address1: | 2001 MEDICAL PKWY | ||||||||
| Address2: | |||||||||
| City: | ANNAPOLIS | ||||||||
| State: | MD | ||||||||
| PostalCode: | 214013280 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4434811000 | ||||||||
| FaxNumber: | 4434811687 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/17/2007 | ||||||||
| LastUpdateDate: | 06/23/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 06/23/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | C175562 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | D60390 | MD | Y | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | C0410030 | 01 | DC | CAREFIRST OF DC | OTHER | 145724700 | 01 | FEDERAL WORKMAN'SCOMP/DEPT. OF LABOR | OTHER | 5852640 | 01 | MD | AETNA NON-HMO | OTHER | S3990052 | 01 | BCBS | OTHER | 1923212 | 01 | AETNA HMO | OTHER | 3351822 | 01 | MD | AETNA HMO | OTHER | 402715900 | 05 | MD | MEDICAID | P00041274 | 01 | MD | RAILROAD MEDICARE | OTHER | 126367 | 01 | JOHNS HOPKINS HC | OTHER | 2116531 | 01 | MD | MAMSI HMO | OTHER | 62041401 | 01 | MD | CAREFIRST OF MARYLAND | OTHER | 62041404 | 01 | BCBS | OTHER | 5852640 | 01 | AETNA PPO | OTHER |