Provider Demographics
NPI:1740204387
Name:ZUHAYR T. MADHUN M.D., INC.
Entity Type:Organization
Organization Name:ZUHAYR T. MADHUN M.D., INC.
Other - Org Name:DIABETES MANAGEMENT TEAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ZUHAYR
Authorized Official - Middle Name:T
Authorized Official - Last Name:MADHUN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-843-8888
Mailing Address - Street 1:6785 W 130TH ST
Mailing Address - Street 2:STE. 201
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-7817
Mailing Address - Country:US
Mailing Address - Phone:440-843-8888
Mailing Address - Fax:440-843-8887
Practice Address - Street 1:6785 W 130TH ST
Practice Address - Street 2:STE. 101
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-7817
Practice Address - Country:US
Practice Address - Phone:440-843-8888
Practice Address - Fax:440-843-8887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35060483207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty