Individual
ABDULJABBAR A DHEYAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 MEDICAL PLAZA DR STE 190, ROSEVILLE, CA 95661-2867
(916) 786-7498
(916) 482-3647
Mailing address
1300 ETHAN WAY STE 600, SACRAMENTO, CA 95825-2296
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C203324
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01087366A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
C203324
CA
207RP1001X
Pulmonary Disease Physician
257687
MA
207RP1001X
Pulmonary Disease Physician
C203324
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110115567A
—
MA
Enumeration date
06/23/2011
Last updated
12/30/2025
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