Provider Demographics
NPI:1093005274
Name:AL-OBOSI, ZAINAB IBRAHIM (MD)
Entity Type:Individual
Prefix:
First Name:ZAINAB
Middle Name:IBRAHIM
Last Name:AL-OBOSI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 PARK AVE
Mailing Address - Street 2:STE 275
Mailing Address - City:LONDON
Mailing Address - State:OH
Mailing Address - Zip Code:43140-1170
Mailing Address - Country:US
Mailing Address - Phone:740-845-7500
Mailing Address - Fax:
Practice Address - Street 1:55 PARK AVE
Practice Address - Street 2:STE 275
Practice Address - City:LONDON
Practice Address - State:OH
Practice Address - Zip Code:43140-1170
Practice Address - Country:US
Practice Address - Phone:740-845-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-09
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35124473207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine