Provider Demographics
NPI:1407851843
Name:NABHAN, SAID IBRAHIM (MD)
Entity Type:Individual
Prefix:
First Name:SAID
Middle Name:IBRAHIM
Last Name:NABHAN
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 1:6620 CLOUGH PIKE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45244-4053
Mailing Address - Country:US
Mailing Address - Phone:513-231-9010
Mailing Address - Fax:
Practice Address - Street 1:7661 BEECHMONT AVE STE 120
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-4234
Practice Address - Country:US
Practice Address - Phone:513-231-9010
Practice Address - Fax:513-231-9706
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29131207R00000X, 207RG0100X
OH35-128181207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1407851843OtherBCBS
TN103I104886Medicare PIN
OHH484200Medicare PIN
TN1407851843OtherBCBS