Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 35.087496 | OH |
N | 207Q00000X | Family Doctor | 35087496 | OH |
N | 207QS0010X | Family Doctor - Sports Medicine | 4301090929 | MI |
NPI | 1275599763 |
---|---|
Provider Name | Dr. Nael O. Bahhur |
First Address | Toledo, OH 43614-2426 |
Second Address | Toledo, OH 43614 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2006 |
Last Update Date | 04/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2645187 | (05) | OH |
5195110 | (05) | MI |
I51277 | (02) | OH |