Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MD.200839 | LA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 35088417 | OH |
Y | 207RA0401X | Internist - Addiction Medicine | 35.088417 | OH |
NPI | 1174555296 |
---|---|
Provider Name | Dr. Aly M Zewail |
First Address | Akron, OH 44310-3110 |
Second Address | Akron, OH 44310-3110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 24/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3050586 | (05) | OH |