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Individual

DR. ABDUL JABBAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2630 GRANT LINE RD, NEW ALBANY, IN 47150-4053
(502) 888-1988
(812) 944-3594
Mailing address
PO BOX 381468, GERMANTOWN, TN 38183-1468

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01062676A
IN
207RG0100X
Gastroenterology Physician
35466
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100116100A
IN
05
200404310
IN
05
64032899
KY
Enumeration date
08/22/2005
Last updated
02/16/2026
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