Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mohamed Koubassi Jabati

Individual provider Contractor · NPI 1700257029

Mohamed Koubassi Jabati is a Contractor in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2015
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Practice location Address checks out

1229 Hale St
Philadelphia, PA 19111-5829
Phone: (215) 850-8057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence SW131325 (PA)

Record details

NPI number1700257029
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 13, 2015
Last updated in NPPESOctober 13, 2015

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