Provider Demographics
NPI:1174509160
Name:ALBIRINI, ABDULHAY (MD)
Entity Type:Individual
Prefix:
First Name:ABDULHAY
Middle Name:
Last Name:ALBIRINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 FOREST AVE
Mailing Address - Street 2:STE 300
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-2868
Mailing Address - Country:US
Mailing Address - Phone:740-454-0804
Mailing Address - Fax:740-450-3447
Practice Address - Street 1:955 BETHESDA DR FL 1
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-1840
Practice Address - Country:US
Practice Address - Phone:740-454-0804
Practice Address - Fax:740-454-7171
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.067871207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0109233Medicaid
OHAL4040621Medicare ID - Type Unspecified
OH0109233Medicaid