Provider Demographics
NPI:1205916418
Name:MIKHAIL, HEBA L (MD)
Entity type:Individual
Prefix:DR
First Name:HEBA
Middle Name:L
Last Name:MIKHAIL
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 1:1254 YOUNGSTOWN WARREN RD
Mailing Address - Street 2:SUITE 3 A
Mailing Address - City:NILES
Mailing Address - State:OH
Mailing Address - Zip Code:44446-4651
Mailing Address - Country:US
Mailing Address - Phone:330-652-3000
Mailing Address - Fax:
Practice Address - Street 1:1254 YOUNGSTOWN WARREN RD
Practice Address - Street 2:SUITE 3 A
Practice Address - City:NILES
Practice Address - State:OH
Practice Address - Zip Code:44446-4651
Practice Address - Country:US
Practice Address - Phone:330-652-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-079495207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine