Individual
AHMAD M. JADAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 BURLINGTON RD, JACKSON, OH 45640-9360
(740) 395-8316
(740) 395-8378
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 441-1934
(740) 446-5982
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.074004
OH
207R00000X
Internal Medicine Physician
01047450A
IN
208M00000X
Hospitalist Physician
01047450A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000356859
OH MEDICAID UNISON
OH
01
—
2079889
OH MEDICAID MOLINA
OH
05
—
2079889
—
OH
01
—
310917085154
OH MEDICAID CARESOURCE
OH
05
—
38100190001
—
WV
01
—
P00878050
RAILROAD MEDICARE
OH
Enumeration date
01/09/2008
Last updated
02/02/2011
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