Individual
JAZIM IBRAHIM RUBAII
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2450 ASHBY AVE, BERKELEY, CA 94705-2067
(510) 204-1894
(510) 841-0435
Mailing address
3017 TELEGRAPH AVE, SUITE 102, BERKELEY, CA 94705-2049
(510) 841-0689
(510) 841-8119
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A71778
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A717780
—
CA
Enumeration date
09/13/2006
Last updated
07/09/2007
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