Individual
JOHN IMAD JARAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2540 16TH ST, PORT HURON, MI 48060-6405
(810) 987-1000
(810) 982-1810
Mailing address
2540 16TH ST, PORT HURON, MI 48060-6405
(810) 987-1000
(810) 982-1810
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
061093
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0994185
HEALTHPLUS
MI
01
—
0P225700002
MEDICARE PROVIDER PIN
MI
01
—
105910404081
HUMANA
MI
01
—
110196407
RAILROAD MEDICARE PROVIDER PIN
MI
01
—
1107401082
BCBSM
MI
01
—
1417675
UNITED HEALTH CARE
MI
01
—
2366756
AETNA MEDICARE ADVANTAGE
MI
05
—
4152744
—
MI
01
—
900040508
PRIORITY HEALTH
MI
01
—
DG3605
RAILROAD MEDICARE GROUP PIN
MI
01
—
G35455
HAP/CIGNA
MI
Enumeration date
06/14/2005
Last updated
02/06/2015
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