Healthcare Provider Details

I. General information

NPI: 1740204387
Provider Name (Legal Business Name): ZUHAYR T. MADHUN M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 12/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6785 W 130TH ST STE. 101
PARMA HEIGHTS OH
44130-7817
US

IV. Provider business mailing address

6785 W 130TH ST STE. 201
PARMA HEIGHTS OH
44130-7817
US

V. Phone/Fax

Practice location:
  • Phone: 440-843-8888
  • Fax: 440-843-8887
Mailing address:
  • Phone: 440-843-8888
  • Fax: 440-843-8887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number35060483
License Number StateOH

VIII. Authorized Official

Name: DR. ZUHAYR T MADHUN
Title or Position: DIRECTOR
Credential: M.D.
Phone: 440-843-8888