Provider Demographics
NPI:1477188605
Name:SAHLANI, MARIO NABIL
Entity Type:Individual
Prefix:
First Name:MARIO
Middle Name:NABIL
Last Name:SAHLANI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2630 W VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-4785
Mailing Address - Country:US
Mailing Address - Phone:216-647-1200
Mailing Address - Fax:
Practice Address - Street 1:2630 W VILLAGE DR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-4785
Practice Address - Country:US
Practice Address - Phone:216-647-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-09
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program