Maria C Aljabi, M.D.

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

27410 Issued in KY

Practice address

340 Starlite Dr
Henderson, KY 42420-6102

Phone

(270) 844-8027

Fax

(270) 844-8183

NPI assigned

Jun 10, 2006

Last updated

Jan 28, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatric Specialists LLC

  • Pediatric Gastroenterology Physician
  • Henderson, KY
  • NPI 1184789364
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1376584219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "270-844-8027",
            "fax_number": "270-844-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 STARLITE DR",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424206102",
            "telephone_number": "270-844-8027",
            "fax_number": "270-844-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALJABI",
        "first_name": "MARIA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "KY",
            "license": "27410",
            "primary": true
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "IN",
            "license": "01046455A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64274103",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Preferred Imaging PSC
• Khwaja Mubeen Ahmad, M.D.
• Mallory Ciara Akins
• Allen Aldridge
• Iyad A Aljabi, M.D.
• Mark Allen
• Terri Alley Newton, DMD
• Ally Therapy and Wellness LLC
• American Health Imaging MW, LLC (American Health Associates)
• American Health Imaging MW, LLC (American Health Associates)

• Pediatric Gastroenterology Physician in Henderson, KY
• Providers in Henderson, KY by specialty
• Pediatric Gastroenterology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.