1295732352 NPI number — DINA YOUSEFF BOUTROS M.D.

Table of content: DINA YOUSEFF BOUTROS M.D. (NPI 1295732352)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295732352 NPI number — DINA YOUSEFF BOUTROS M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BOUTROS
Provider First Name:
DINA
Provider Middle Name:
YOUSEFF
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

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:
1295732352
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/11/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3562 RIDGE PARK DR
Provider Second Line Business Mailing Address:
STE. A
Provider Business Mailing Address City Name:
FAIRLAWN
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44333-9294
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-664-0767
Provider Business Mailing Address Fax Number:
330-664-0766

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3562 RIDGE PARK DR
Provider Second Line Business Practice Location Address:
STE. A
Provider Business Practice Location Address City Name:
FAIRLAWN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44333-9294
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-664-0767
Provider Business Practice Location Address Fax Number:
330-664-0766
Provider Enumeration Date:
07/05/2005

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: 2084N0400X , with the licence number:  35073803 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2340087 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2551671 . This is a "PARTNERS PHYSICIAN GROUP MEDICAID GROUP #" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 9338635 . This is a "PARTNERS PHYSICIAN GROUP MEDICARE GROUP #" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 1841239274 . This is a "PARTNERS PHYSICIAN GROUP TYPE 2 NPI #" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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