Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 35.134446 | OH |
Y | 111NI0900X | Internist | 35.134446 | OH |
NPI | 1003279886 |
---|---|
Provider Name | Dr. Toufik Z. Madhun |
First Address | Parma, OH 44134-6164 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2016 |
Last Update Date | 22/08/2019 |