# JAMAL D DABBAH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1427304963
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 102L00000X | Psychoanalyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103T00000X | Psychologist | — | NULL | — |
| 133N00000X | Nutritionist | — | NULL | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 207Q00000X | Family Medicine Physician | 51454 | AZ | Yes |
| 207R00000X | Internal Medicine Physician | 51454 | AZ | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 51454 | AZ | — |
| 208D00000X | General Practice Physician | 51454 | AZ | — |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 225100000X | Physical Therapist | 51454 | AZ | — |
| 225C00000X | Rehabilitation Counselor | — | NULL | — |
| 225X00000X | Occupational Therapist | 51454 | AZ | — |

## Other

- **Enumeration date:** 08/02/2012
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 51454 | MD LICENSE | AZ |