Sallu Mohamed Jabati (NPI# 1235104431, PAC ID# 4486683141) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1235104431 |
| PAC ID by PECOS | 4486683141 |
| Professional Enrollment ID | I20070717000336 |
| Full Name | Sallu Mohamed Jabati |
| Organization Legal Name | FAMILY MEDICAL CENTER PC |
| Address |
5615 Old National Hwy Suite D College Park GA 30349 |
| Phone Number | 7709972900 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2000 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | INTERVENTIONAL PAIN MANAGEMENT |
| Group Practice PAC ID | 6002120821 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490093 | SENTARA CAREPLEX HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5615 Old National Hwy, Suite D, College Park, GA 30349 | 7709972900 | FAMILY MEDICAL CENTER PC |
| 14904 Jefferson Davis Hwy, Suite 205, Woodbridge, VA 22191-3908 | 7034974500 | FAMILY MEDICAL CENTER HOLDING LLC |
| Organization Legal Name | FAMILY MEDICAL CENTER PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine B Badru | Nurse Practitioner | Family Medical Center PC | 5615 Old National Hwy, Suite D, College Park, GA 30349 |
| Remedios L Deleon | Internal Medicine | Family Medical Center PC | 8638 Centreville Rd, Manassas, VA 20110-5264 |
| Street Address |
5615 OLD NATIONAL HWY SUITE D |
| City | COLLEGE PARK |
| State | GA |
| Zip | 30349 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine B Badru | Nurse Practitioner | Family Medical Center PC | 5615 Old National Hwy, Suite D, College Park, GA 30349 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ranjan Avasthi | Psychiatry | Nak Union, Inc | 5530 Old National Hwy, Building C Suite B, College Park, GA 30349 |
| Tikki Brown | Clinical Social Worker | Nak Union, Inc | 5530 Old National Hwy, Building C Suite B, College Park, GA 30349 |
| Vickie A James | Family Medicine | 5100 Old Bill Cook Rd, College Park, GA 30349-3142 | |
| Anthony B. Adams | Obstetrics/gynecology | 2575 Jolly Rd, College Park, GA 30349-3165 | |
| Bhavin V Mehta | Podiatry | Ankle and Foot Centers of Georgia, LLC | 5335 Old National Hwy, Atlanta, GA 30349-3203 |
| Helen D Uzokwe | Nurse Practitioner | 5337 Old National Hwy, Suite 100, College Park, GA 30349-3305 | |
| Travis Humber | Chiropractic | Humber-kirk Chiropractic Clinic, LLC | 5640 Old National Hwy, Atlanta, GA 30349-3834 |
| Tina R Sills | Chiropractic | Humber-kirk Chiropractic Clinic, LLC | 5640 Old National Hwy, Atlanta, GA 30349-3834 |
| Thomas M Humber | Chiropractic | Humber-kirk Chiropractic Clinic, LLC | 5640 Old National Hwy, Atlanta, GA 30349-3834 |
| Glenn W Howell | Chiropractic | Humber-kirk Chiropractic Clinic, LLC | 5640 Old National Hwy, Atlanta, GA 30349-3834 |
| Find all physicians in zip 30349 | |||
| City | COLLEGE PARK |
| Zip Code | 30349 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | COLLEGE PARK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Sallu Mohamed Jabati.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.