Provider Demographics
NPI:1790742476
Name:NAHLEH, ZEINA AHMAD (MD)
Entity Type:Individual
Prefix:DR
First Name:ZEINA
Middle Name:AHMAD
Last Name:NAHLEH
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 1:2950 CLEVELAND CLINIC BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3625
Mailing Address - Country:US
Mailing Address - Phone:915-545-6618
Mailing Address - Fax:915-545-6634
Practice Address - Street 1:4800 ALBERTA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905
Practice Address - Country:US
Practice Address - Phone:915-545-6618
Practice Address - Fax:915-545-6634
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-083258207R00000X, 207RH0000X, 207RX0202X
FLME131305207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64073232Medicaid
OH2435216Medicaid
IN200454950Medicaid
IN200454950Medicaid
KY64073232Medicaid