Jabola, R Marvin

Jabola, R Marvin is an individual health care provider with primary practice located at 600 Coffee Rd , Modesto CA 95355-4201. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Jabola, R Marvin can be contacted via phone (209) 524-1211.

Contact Information

Primary practice address
600 Coffee Rd Modesto CA 95355-4201
Phone: (209) 524-1211
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X G60059 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X G60059 California
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X G60059 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G60059 California

Profile Details

NPI number 1952342883
LBN Legal business name Jabola, R Marvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Aug 17th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952342883 NPPES
California MEDICAID 00G600590

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