Provider Demographics
NPI:1366187742
Name:JABERI, EMILY ANN (MD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ANN
Last Name:JABERI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ANN
Other - Last Name:BUSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3600 FORBES AVENUE FORBES TOWER
Mailing Address - Street 2:PLAZA LEVEL SUITE 140
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:315-267-6059
Mailing Address - Fax:
Practice Address - Street 1:4401 PENN AVENUE, CHILDREN'S HOSPITAL OF PITTSBURGH
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23708-2111
Practice Address - Country:US
Practice Address - Phone:412-692-6236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-01
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116036627171000000X
390200000X
VA0101279630171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program