MEDICARE: ALI S HALABI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	35045146N	OH
2	208D00000X	General Practice Physician	35045146H	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831187483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALI S HALABI MD

Provider Business Mailing Address
First Line	:	PO BOX 41194
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44141-0194
Country	:	US
Telephone Number	:	216-883-1234
Fax Number	:	216-883-7706

Provider Business Practice Location Address
First Line	:	5316 BROADWAY AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44127-1507
Country	:	US
Telephone Number	:	216-883-1234
Fax Number	:	216-883-7706

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2005
Last Update Date	:	02/29/2008

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Directions to “ ALI S HALABI MD” Practice Location

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