Provider Demographics
NPI:1619376910
Name:ELOBAID, ZHOUR
Entity Type:Individual
Prefix:MRS
First Name:ZHOUR
Middle Name:
Last Name:ELOBAID
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 N HAMETOWN RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-1614
Mailing Address - Country:US
Mailing Address - Phone:330-604-4862
Mailing Address - Fax:330-247-5657
Practice Address - Street 1:320 N HAMETOWN RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-1614
Practice Address - Country:US
Practice Address - Phone:330-604-4862
Practice Address - Fax:330-247-5657
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-22
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH775415343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)