Abdullahi Isa Mubarak
Family Doctor - Addiction Medicine
1550 Yankee Park Pl
Centerville
, Ohio 45458-1868
Abdullahi Isa Mubarak
Family Doctor - Addiction Medicine
1550 Yankee Park Pl
Centerville
, Ohio 45458-1868
(937) 439-4948
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Abdullahi Isa Mubarak
- 1550 Yankee Park Pl
- Centerville, OH
- Zip : 45458-1868
- Fax : (937) 439-4948
- Phone : (937) 439-4949
Second Address
- Abdullahi Isa Mubarak
- 1550 Yankee Park Pl
- Centerville, OH
- Zip : 45458-1868
- Fax : (937) 439-4948
- Phone : (937) 439-4949
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 35051593 | OH |
National Provider Identifier
| NPI | 1861521940 |
|---|---|
| Provider Name | Abdullahi Isa Mubarak |
| First Address | Centerville, OH 45458-1868 |
| Second Address | Centerville, OH 45458-1868 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/03/2007 |
| Last Update Date | 11/12/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0685585 | (05) | OH |
| A17552 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.