Individual
MAJD I JARADAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
01046695
IN
207RN0300X
Nephrology Physician
Primary
M5250
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196443904
—
TX
05
—
196443906
—
TX
01
—
7002130
CIGNA
TX
01
—
7220017
AETNA
TX
01
—
8AT814
BCBS
TX
01
—
P000789480
RAILROAD MEDICARE
—
Enumeration date
04/18/2006
Last updated
06/05/2014
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