Healthcare Provider Details
I. General information
NPI: 1396944393
Provider Name (Legal Business Name): MOMIN MOHAMED HASSAN GABIR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/11/2007
Last Update Date: 08/24/2025
Certification Date: 08/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9500 EUCLID AVE
CLEVELAND OH
44195-1268
US
IV. Provider business mailing address
PO BOX 72327
PHOENIX AZ
85050-1023
US
V. Phone/Fax
- Phone: 216-444-2200
- Fax:
- Phone: 480-361-1503
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RE0101X |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| License Number | 35.153301 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: