Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 35067558 | OH |
Y | 111NI0900X | Internist | 35067558 | OH |
N | 207RA0401X | Internist - Addiction Medicine | 35.067558 | OH |
NPI | 1801880471 |
---|---|
Provider Name | Mahdi Nicola Doumet |
First Address | Toledo, OH 43623-4231 |
Second Address | Holland, OH 43528-8039 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2005 |
Last Update Date | 01/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0101348 | (05) | OH |
89246 | (02) | OH |