Healthcare Provider Details

I. General information

NPI: 1467693895
Provider Name (Legal Business Name): ZEINA GERYES EL AMIL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2009
Last Update Date: 12/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

667 EASTLAND AVE SE
WARREN OH
44484-4503
US

IV. Provider business mailing address

667 EASTLAND AVE SE
WARREN OH
44484-4503
US

V. Phone/Fax

Practice location:
  • Phone: 330-841-4177
  • Fax: 330-841-4598
Mailing address:
  • Phone: 330-841-4177
  • Fax: 330-841-4598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD455199
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD159530
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number35.128099
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: