Provider Demographics
NPI:1093593865
Name:ALBINNI, ISRAA ADNAN
Entity Type:Individual
Prefix:
First Name:ISRAA
Middle Name:ADNAN
Last Name:ALBINNI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:STRUTHERS
Mailing Address - State:OH
Mailing Address - Zip Code:44471-1814
Mailing Address - Country:US
Mailing Address - Phone:210-793-0814
Mailing Address - Fax:
Practice Address - Street 1:39 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:STRUTHERS
Practice Address - State:OH
Practice Address - Zip Code:44471-1814
Practice Address - Country:US
Practice Address - Phone:210-793-0814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHVG230565172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver