JANA DBAIBOU


Address: 4201 St. Antoine St., Suite 2e, Detroit, MI 48201
Phone: 3137457888

JANA DBAIBOU (NPI# 1558852871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558852871
Entity Type Individual
Full Name JANA DBAIBOU
Credential M.D.
Practice Address 4201 St. Antoine St.
Suite 2e
Detroit
MI 48201
Practice Telephone 3137457888
Mailing Telephone 3137457888
Enumeration Date 2018-05-22
Last Update Date 2019-03-27
NPI Deactivation Date 01/22/2019
NPI Reactivation Date 2019-03-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program 4301115070 MI Student, Health Care
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 4201 ST. ANTOINE ST.
SUITE 2E
City DETROIT
State MI
Zip Code 48201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447299797 University Physician Group Transplant Surgery 4201 St. Antoine St., Detroit, MI 48201 2006-06-05
1235792581 Omid Yazdanpanah Student in an Organized Health Care Education/Training Program 4201 St. Antoine St., Uhc 2e, Detroit, MI 48201-2153 2019-04-22
1730678004 Said El Zein Student in an Organized Health Care Education/Training Program 4201 St. Antoine St., Suite 2e, Detroit, MI 48201 2018-05-02
1518454016 Tanveer Ahmad Mir Student in an Organized Health Care Education/Training Program 4201 St. Antoine St., Suite 2e, Detroit, MI 48201 2018-04-19
1780171736 Zaid Kaloti Student in an Organized Health Care Education/Training Program 4201 St. Antoine St., University Health Center Suite 2e, Detroit, MI 48201 2018-04-16
1194222927 Amy Lynn Inman Student in an Organized Health Care Education/Training Program 4201 St. Antoine St., Detroit, MI 48201 2018-04-09
1467987065 Irfan Shafi Student in an Organized Health Care Education/Training Program 4201 St. Antoine St., 9c-vhc, Detroit, MI 48201 2017-04-21
1467985630 Suman Khicher Student in an Organized Health Care Education/Training Program 4201 St. Antoine St., Suite 2e, Detroit, MI 48201 2017-04-05
1023540572 Mowyad Omer Elamin Khalid Student in an Organized Health Care Education/Training Program 4201 St. Antoine St., Suite 2e, University Health Center, Detroit, MI 48201-2153 2017-04-03
1275912180 Christopher Hugh Cowan Physician Assistant 4201 St. Antoine St., Detroit, MI 48201-2502 2015-05-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
Find all providers in zip 48201

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013514702 Leeza Fortner Student in an Organized Health Care Education/Training Program 259 Mack Ave Ste 4514, Detroit, MI 48201-2427 2020-10-06
1174132583 Odei Alayyas Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 2020-07-31
1912516790 Omar Choudhury Student in an Organized Health Care Education/Training Program Henroy Ford Hospital, Medical Education Department ., 2799 W. Grand Boulevard, Detroit, MI 48202-2608 2020-07-28
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1932725959 Devonn Eli Israil Student in an Organized Health Care Education/Training Program 4201 Saint Antoine St Rm 2d, Detroit, MI 48201-2153 2020-06-25
1457976292 Ali Nauman Khan Student in an Organized Health Care Education/Training Program Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 2020-06-08
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
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Competitor

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City DETROIT
Zip Code 48201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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