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Individual
FATIMAH OMAR JAH
Active
Individual
FATIMAH OMAR JAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 28985
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000245946
UNISON
SC
01
—
032
TRICARE
SC
01
—
034
TRICARE
SC
01
—
061
BLUECHOICE
SC
01
—
062
BCBS
SC
01
—
063
BCBS
SC
01
—
1833944
CIGNA
SC
01
—
20-28985
SC CONTROLLED SUB LIC #
SC
01
—
20078187
SELECT HEALTH
SC
01
—
211987
MEDCOST
SC
05
—
289850
—
SC
05
—
5910322
—
NC
01
—
AA17288552
MEDICARE PTAN
SC
01
—
MD 28985
SC MEDICAL LICENSE
SC
Enumeration date
09/26/2006
Last updated
02/05/2024
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