Healthcare Provider Details

I. General information

NPI: 1164982773
Provider Name (Legal Business Name): DR. ZEIN MOUAFFAQ SAAD EDDIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2019
Last Update Date: 03/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 GOODMAN STREET, DEPARTMENT OF SURGERY
CINCINNATI OH
45219
US

IV. Provider business mailing address

231 ALBERT SABIN WAY
CINCINNATI OH
45267-0513
US

V. Phone/Fax

Practice location:
  • Phone: 513-558-3700
  • Fax: 513-558-5036
Mailing address:
  • Phone: 513-559-5367
  • Fax: 513-558-2967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: