Healthcare Provider Details

I. General information

NPI: 1316949266
Provider Name (Legal Business Name): RASHAD EL-DABH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 01/19/2024
Certification Date: 01/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 MARKET ST
BOARDMAN OH
44512-6725
US

IV. Provider business mailing address

8401 MARKET ST
BOARDMAN OH
44512-6725
US

V. Phone/Fax

Practice location:
  • Phone: 330-629-7500
  • Fax: 330-629-7504
Mailing address:
  • Phone: 330-629-7500
  • Fax: 330-629-7504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number35055201
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: