Individual
DR. MHAMAD BADRADDIN JIBRINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
103 LANDMARK DR, STE 200, BELLEVUE, KY 41073-1396
(859) 838-1281
(859) 838-1239
Mailing address
PO BOX 636267, CINCINNATI, OH 45263-0001
(859) 838-1281
(859) 838-1239
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-092004
OH
207R00000X
Internal Medicine Physician
Primary
40854
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200926710
—
IN
05
—
2915000
—
OH
05
—
7100063060
—
KY
01
—
P00693655
RR MEDICARE
—
Enumeration date
07/03/2007
Last updated
01/10/2018
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