Mamoon Jarrah in Port Charlotte - Vascular Surgery
Mamoon Jarrah - NPI 1699719468
Mamoon Jarrah is a Vascular Surgery in Port Charlotte, Florida. Mamoon Jarrah practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Mamoon Jarrah is 1699719468. The last update date is 2010-02-02.
Mamoon Jarrah's current location address is 2525 Harbor Blvd, Port Charlotte, Florida. You can contact this provider via phone number 9416133773 and fax number 9416296770. The mailing address for Mamoon Jarrah is 2525 Harbor Blvd, Port Charlotte, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mamoon Jarrah |
|---|---|
| Address | 2525 Harbor Blvd, Port Charlotte, Florida |
| Phone Number | 9416133773 |
| Fax Number | 9416296770 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1699719468 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2010-02-02 |
Provider Mailing Address Detail
| Address | 2525 Harbor Blvd |
|---|---|
| City | Port Charlotte |
| State | Florida (FL) |
| Post Code | 339525317 |
| Phone Number | 9416133773 |
| Fax Number | 9416296770 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | ME0040565 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 770002062 | FL | RR MEDICARE | |
| 629729 | TN | BCBS TENNESSEE | |
| 66974100 | FL | -- | |
| 8118 | FL | COMMERCIAL | |
| 4652614 | FL | AETNA | |
| 5744032-004 | FL | CIGNA | |
| 629729 | FL | ANTHEM |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mamoon Jarrah by the Centers for Medicare & Medicaid Services?
The Mamoon Jarrah has been assigned the NPI (National Provider Identifier) 1699719468 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Mamoon Jarrah located?
The Mamoon Jarrah is located at 2525 Harbor Blvd, Port Charlotte, FL 339525317.
What is Mamoon Jarrah's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mamoon Jarrah's specialized field of practice is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0129X.
On what date did Mamoon Jarrah receive its 1699719468 assignment from the Centers for Medicare & Medicaid Services?
The Mamoon Jarrah was assigned its 1699719468 on 2006-06-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mamoon Jarrah, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mamoon Jarrah, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-02-02.
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