Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 35058434M | OH |
Y | 111NI0900X | Internist | 35058434M | OH |
NPI | 1003802695 |
---|---|
Provider Name | Dr. Nabil B Migally |
First Address | Huber Heights, OH 45424-6137 |
Second Address | Huber Heights, OH 45424-6137 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2005 |
Last Update Date | 05/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000011382 | ANTHEM PIN-C (01) | OH |
000000011383 | ANTHEM PIN-L (01) | OH |
000000269197 | ANTHEM PIN-H (01) | OH |
0685041 | PTAN (01) | OH |
0685045 | PTAN (01) | OH |
0685048 | PTAN (01) | OH |
0685049 | PTAN (01) | OH |
0690832 | PTAN (01) | OH |
E76650 | (02) |