Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35.124479 | OH |
N | 111NI0900X | Internist | 35.124479 | OH |
N | 207R00000X | Internist | 4301117049 | MI |
N | 111NI0900X | Internist | 4301117049 | MI |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 35.124479 | OH |
N | 207RC0000X | Internist - Cardiovascular Disease | 35.124479 | OH |
NPI | 1710249917 |
---|---|
Provider Name | Dr. Imad M Hariri |
First Address | Toledo, OH 43604-1531 |
Second Address | Toledo, OH 43615-1753 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2012 |
Last Update Date | 27/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0117782 | (05) | OH |