Provider Demographics
NPI:1184604001
Name:AL-ASSAAD, ALI NIHAD (MD)
Entity type:Individual
Prefix:DR
First Name:ALI
Middle Name:NIHAD
Last Name:AL-ASSAAD
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 1:751 FOREST AVE
Mailing Address - Street 2:STE 300
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-2868
Mailing Address - Country:US
Mailing Address - Phone:740-454-0804
Mailing Address - Fax:740-454-7171
Practice Address - Street 1:751 FOREST AVE
Practice Address - Street 2:STE 300
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-2868
Practice Address - Country:US
Practice Address - Phone:740-454-0804
Practice Address - Fax:740-454-7171
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35067648207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0102365Medicaid
OH000000307124OtherANTHEM
P00065713OtherRAILROAD MEDICARE
OHE67648OtherSUMMA
OHE67648OtherSUMMA
OH0102365Medicaid