Healthcare Provider Details

I. General information

NPI: 1336580372
Provider Name (Legal Business Name): NATHALIE ELIAS CHALHOUB M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2013
Last Update Date: 07/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 ALBERT SABIN WAY UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
CINCINNATI OH
45267-0563
US

IV. Provider business mailing address

231 ALBERT SABIN WAY ML 0563
CINCINNATI OH
45267-0563
US

V. Phone/Fax

Practice location:
  • Phone: 513-558-4701
  • Fax: 513-558-3799
Mailing address:
  • Phone: 513-558-4701
  • Fax: 513-558-3799

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: