Dr. Ihsan I Jabbour, MD
General Practice in Waterbury, Connecticut
1407899610- Practice location
- 171 Grandview Ave, Suite # 105, Waterbury, CT 06708-2517
- Phone
- 203-755-2214
- Fax
- 203-596-1133
- Last updated
- January 19, 2017
Ihsan I Jabbour is a General Practice based in Waterbury, CT. Ihsan I Jabbour practices in Waterbury, CT and has the professional credentials of MD. The NPI Number for Ihsan I Jabbour is 1407899610 and holds a License No. 026820 (CT). The current practice location address for Ihsan I Jabbour is 171 Grandview Ave, Suite # 105, Waterbury, CT 06708-2517 and can be reached out via phone at 203-755-2214 and via fax at 203-596-1133.
Provider Profile Details
- NPI Number
- 1407899610
- Provider Name
- Ihsan I Jabbour
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 171 Grandview Ave, Suite # 105, Waterbury, CT 06708-2517
- Phone Number
- 203-755-2214
- Fax Number
- 203-596-1133
- Primary Taxonomy
- General Practice · 208D00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 14, 2006
- Last Update Date
- January 19, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 171 Grandview Ave
Suite # 105
Waterbury, CT 06708-2517 - City
- Waterbury
- State
- Connecticut
- Zip
- 06708-2517
- Phone Number
- 203-755-2214
- Fax Number
- 203-596-1133
Provider Business Mailing Address Details
- Address
- 171 Grandview Ave
Suite # 105
Waterbury, CT 06708-2517 - City
- Waterbury
- State
- CT
- Zip
- 06708-2517
- Phone Number
- 203-755-2214
- Fax Number
- 203-596-1133
License Information
- License Number (1)
- 026820
- License State (1)
- CT
- Taxonomy (1)
- Emergency Medicine, Undersea and Hyperbaric Medicine · 207PE0005X
- License Number (2)
- 026820
- License State (2)
- CT
- Taxonomy (2)
- Surgery · 208600000X
- License Number (3)
- 026820
- License State (3)
- CT
- Taxonomy (3)
- General Practice · 208D00000X · Primary
- License Number (4)
- 026820
- License State (4)
- CT
- Taxonomy (4)
- Family Medicine · 207Q00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other General Practice providers near Waterbury, CT
View all General Practice providers in Waterbury →Frequently Asked Questions
What is the NPI number of Dr. Ihsan I Jabbour, MD?
The NPI number of Dr. Ihsan I Jabbour, MD is 1407899610. It was assigned on June 14, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Ihsan I Jabbour, MD?
Dr. Ihsan I Jabbour, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in CT under license number 026820.
Where does Dr. Ihsan I Jabbour, MD practice?
The practice location is 171 Grandview Ave, Suite # 105, Waterbury, CT 06708-2517. The office can be reached at 203-755-2214 (phone) or 203-596-1133 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407899610 directly on the NPPES registry website.