Provider Demographics
NPI:1841288305
Name:ALLOUSH, NABIL F (MD)
Entity type:Individual
Prefix:
First Name:NABIL
Middle Name:F
Last Name:ALLOUSH
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 714336
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43271-0001
Mailing Address - Country:US
Mailing Address - Phone:330-759-9119
Mailing Address - Fax:330-759-3330
Practice Address - Street 1:1252 YOUNGSTOWN WARREN RD
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:OH
Practice Address - Zip Code:44446-4612
Practice Address - Country:US
Practice Address - Phone:330-544-3724
Practice Address - Fax:330-544-4491
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35047534A207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0608873Medicaid
OH0608873Medicaid
OHA16298Medicare UPIN