Individual
DR. LINDA S JABBARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1930 N BUSINESS ROUTE 5, UNIT 1A, CAMDENTON, MO 65020-2659
(573) 346-5624
(573) 346-1957
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1873
IA
207Q00000X
Family Medicine Physician
Primary
2007035506
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0186296
—
IA
01
—
18629
BC/BS
IA
05
—
242567105
—
MO
01
—
P00625555
RAILROAD MEDICARE
MO
Enumeration date
01/20/2006
Last updated
07/22/2009
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