Provider Demographics
NPI:1891719415
Name:MADHUN, ZUHAYR T (MD)
Entity Type:Individual
Prefix:DR
First Name:ZUHAYR
Middle Name:T
Last Name:MADHUN
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:PO BOX 470574
Mailing Address - Street 2:
Mailing Address - City:BROADVIEW HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44147-0574
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
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35060483174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHF33476Medicare UPIN
OH9363682Medicare PIN