Healthcare Provider Details

I. General information

NPI: 1285788430
Provider Name (Legal Business Name): ALI MOHAMMED MELHEM M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4697 HARRISON ST
BELLAIRE OH
43906-1338
US

IV. Provider business mailing address

4697 HARRISON ST
BELLAIRE OH
43906-1338
US

V. Phone/Fax

Practice location:
  • Phone: 740-968-7006
  • Fax: 740-968-7256
Mailing address:
  • Phone: 740-968-7006
  • Fax: 740-968-7256

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number35-079087
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35-079087
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: