Active NPIIndividual provider

Dr. Ebaa A Jastaniah, MD, MPH

Pediatrics in Little Rock, Arkansas

NPI Number1760892566
Practice location
1 Childrens Way # 653, Little Rock, AR 72202-3500
Fax
—
Last updated
September 14, 2020

Ebaa A. Jastaniah is a Pediatrics based in Little Rock, AR. Ebaa A. Jastaniah practices in Little Rock, AR and has the professional credentials of MD, MPH. The NPI Number for Ebaa A. Jastaniah is 1760892566 and holds a License No. E-13378 (AR). The current practice location address for Ebaa A. Jastaniah is 1 Childrens Way # 653, Little Rock, AR 72202-3500 and can be reached out via phone at 501-364-1100.

Provider Profile Details

NPI Number
1760892566
Provider Name
Ebaa A. Jastaniah
Credential
MD, MPH
Provider Entity Type
Individual
Gender
Male
Address
1 Childrens Way # 653, Little Rock, AR 72202-3500
Phone Number
501-364-1100
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
May 1, 2014
Last Update Date
September 14, 2020
Certification Date
September 14, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Childrens Way # 653
Little Rock, AR 72202-3500
Zip
72202-3500
Phone Number
501-364-1100
Little Rock, AR 72202Get directions →

Provider Business Mailing Address Details

Address
1 Childrens Way # 653
Little Rock, AR 72202-3500
City
Little Rock
State
AR
Zip
72202-3500
Phone Number
501-364-1100

License Information

License Number (1)
E-13378
License State (1)
AR
Taxonomy (1)
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ebaa A Jastaniah, MD, MPH?

The NPI number of Dr. Ebaa A Jastaniah, MD, MPH is 1760892566. It was assigned on May 1, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Ebaa A Jastaniah, MD, MPH?

Dr. Ebaa A Jastaniah, MD, MPH is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in AR under license number E-13378.

Where does Dr. Ebaa A Jastaniah, MD, MPH practice?

The practice location is 1 Childrens Way # 653, Little Rock, AR 72202-3500. The office can be reached at 501-364-1100 (phone).

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 1760892566 directly on the NPPES registry website.

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