Provider Demographics
NPI:1184681017
Name:EL DABH, ASHRAF H (MD)
Entity Type:Individual
Prefix:
First Name:ASHRAF
Middle Name:H
Last Name:EL DABH
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 1:24700 LORAIN RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-2088
Mailing Address - Country:US
Mailing Address - Phone:440-777-6700
Mailing Address - Fax:440-777-7037
Practice Address - Street 1:24700 LORAIN RD
Practice Address - Street 2:SUITE 304
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-2088
Practice Address - Country:US
Practice Address - Phone:440-777-6700
Practice Address - Fax:440-777-7037
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35056642E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH160056025OtherRAILROAD
OHP00705924OtherRAILRAOD CARE
OH0731971Medicaid
OH350971OtherWELLCARE
OH350971OtherWELLCARE
OH0731971Medicaid
OH0621778Medicare PIN
OH7349271Medicare PIN
OH7296981Medicare PIN