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General NPI Number Information
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NPI Number | 1174797203
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Entity Type | Individual
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Provider Name | PETER M GHOBRIAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 3999 RICHMOND RD
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City | BEACHWOOD
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State | OH
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Zip | 44122-6046
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Country | US
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Telephone | 216-593-5500
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Fax | 216-844-5922
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Provider Business Mailing Address
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Address Line | 24701 EUCLID AVE THIRD FLOOR BILLING SERVICES
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City | EUCLID
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State | OH
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Zip | 44117-1714
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Country | US
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Telephone | 216-593-5500
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Fax | 216-844-5922
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD444962
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 322479
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35-120971
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License Number State | OH
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