Diab, Isam

Diab, Isam is an individual health care provider with primary practice located at 18660 Bagley Road #102B, Middleburg Hts OH 44130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Diab, Isam can be contacted via phone (440) 891-9395.

Contact Information

Primary practice address
18660 Bagley Road #102B Middleburg Hts OH 44130
Phone: (440) 891-9395
Fax: (440) 891-1765
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 35059458D Ohio

Profile Details

NPI number 1063488765
LBN Legal business name Diab, Isam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated May 27th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063488765 NPPES
Other 341783789049 CARESOURCE
Other 350849 CARESOURCE
Other 3200064 CARESOURCE
Other CA4511 CARESOURCE
MEDICAID 0786707 CARESOURCE
Other 4247166 CARESOURCE
Other 0119204 CARESOURCE
Other 3610861 CARESOURCE
Other F59458 CARESOURCE
Other 000000031889 CARESOURCE
Other 1780634279 CARESOURCE
Other D368301 CARESOURCE
Other 102940 CARESOURCE
Other 9273172 CARESOURCE

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