Provider Demographics
NPI:1265428544
Name:GHARAIBEH, NUMAN (MD)
Entity type:Individual
Prefix:DR
First Name:NUMAN
Middle Name:
Last Name:GHARAIBEH
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 1:320 BOULEVARD ST
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-3802
Mailing Address - Country:US
Mailing Address - Phone:336-781-2189
Mailing Address - Fax:336-787-6272
Practice Address - Street 1:320 BOULEVARD ST
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-3802
Practice Address - Country:US
Practice Address - Phone:336-781-2189
Practice Address - Fax:336-787-6272
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-22
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0349602084P0800X
NC2018-26152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
D300083819OtherMEDICARE
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