Provider Demographics
NPI:1497728489
Name:ALKHOURI, NABIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:NABIEL
Middle Name:
Last Name:ALKHOURI
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 1:800 WHEELING AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN DALE
Mailing Address - State:WV
Mailing Address - Zip Code:26038-1660
Mailing Address - Country:US
Mailing Address - Phone:304-843-3390
Mailing Address - Fax:
Practice Address - Street 1:1410 CLARK ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-9617
Practice Address - Country:US
Practice Address - Phone:740-439-2771
Practice Address - Fax:740-439-2867
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-09
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35071259207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G62209Medicare UPIN