Provider Demographics
NPI:1205139144
Name:HASSAN ALZOUBI MD
Entity type:Organization
Organization Name:HASSAN ALZOUBI MD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALZOUBI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-251-7899
Mailing Address - Street 1:18099 LORAIN AVE
Mailing Address - Street 2:SUITE 420
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-5610
Mailing Address - Country:US
Mailing Address - Phone:216-251-7899
Mailing Address - Fax:216-252-5226
Practice Address - Street 1:18099 LORAIN AVE
Practice Address - Street 2:SUITE 420
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-5610
Practice Address - Country:US
Practice Address - Phone:216-251-7899
Practice Address - Fax:216-252-5226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-15
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty