1144281460 NPI number — NABIL HARBY MIKHAEL M.D.

Table of content: NABIL HARBY MIKHAEL M.D. (NPI 1144281460)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144281460 NPI number — NABIL HARBY MIKHAEL M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MIKHAEL
Provider First Name:
NABIL
Provider Middle Name:
HARBY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144281460
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/01/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1200 BROOKS LANE
Provider Second Line Business Mailing Address:
SUITE 285
Provider Business Mailing Address City Name:
CLAIRTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15025-3747
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-469-6956
Provider Business Mailing Address Fax Number:
412-469-3799

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 DELAFIELD ROAD
Provider Second Line Business Practice Location Address:
SUITE 212- 100- MAB
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15215-3247
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-784-5144
Provider Business Practice Location Address Fax Number:
412-784-5203
Provider Enumeration Date:
03/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RN0300X , with the licence number:  MD063526L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0018138300001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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