Provider Demographics
NPI:1689643959
Name:AHMED ABDELMOTALEB, ABEER (MD)
Entity Type:Individual
Prefix:
First Name:ABEER
Middle Name:
Last Name:AHMED ABDELMOTALEB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 HAYES AVE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-2632
Mailing Address - Country:US
Mailing Address - Phone:419-334-8943
Mailing Address - Fax:419-334-8619
Practice Address - Street 1:605 3RD AVE STE F
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-3269
Practice Address - Country:US
Practice Address - Phone:419-334-8943
Practice Address - Fax:419-334-8619
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-085223207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH71016353OtherAETNA
OH000000689277OtherANTHEM
OH04716OtherPARAMOUNT
OH2510228OtherUNITED HEALTHCARE
OH2544116Medicaid
OH2510228OtherUNITED HEALTHCARE
OH4152821Medicare PIN
OHAB4152821Medicare ID - Type Unspecified