Provider Demographics
NPI:1952705485
Name:NAJAH, HUSAM MOHAMED
Entity Type:Individual
Prefix:DR
First Name:HUSAM
Middle Name:MOHAMED
Last Name:NAJAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1436 MOUNT VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-5629
Mailing Address - Country:US
Mailing Address - Phone:740-251-0183
Mailing Address - Fax:
Practice Address - Street 1:795 N LEXINGTON SPRINGMILL RD
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:OH
Practice Address - Zip Code:44906-1114
Practice Address - Country:US
Practice Address - Phone:740-251-0183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-13
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE 604111791223G0001X
OH30.0243591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice