Active NPI
Khaldoun Jabi, MD
- Surgery Physician
- Chandler, AZ
National Provider Identifier
1710559877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 55063
- Practice address
- 3920 S Alma School Rd Ste 8
Chandler, AZ 85248-4511 - Phone
- (216) 456-7741
- NPI assigned
- Jul 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 55063 | AZ | Primary |
Addresses
Primary practice location
3920 S Alma School Rd Ste 8
Chandler, AZ 85248-4511
Mailing address
1392 E Bartlett Way
Chandler, AZ 85249-3132
Phone (216) 456-7741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1710559877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1392 E BARTLETT WAY",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852493132",
"telephone_number": "216-456-7741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 S ALMA SCHOOL RD STE 8",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852484511",
"telephone_number": "216-456-7741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABI",
"first_name": "KHALDOUN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-16",
"last_updated": "2021-07-16",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "55063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.