MEDICARE: DR. ALI NIHAD AL-ASSAAD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	35067648	OH
2	207R00000X	Internal Medicine Physician	35067648	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00065713	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000307124	OTHER	OH	ANTHEM
4	E67648	OTHER	OH	SUMMA

General Provider Information

NPI Number	:	1184604001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALI NIHAD AL-ASSAAD MD

Provider Business Mailing Address
First Line	:	751 FOREST AVE
Second Line	:	STE 300
City	:	ZANESVILLE
State	:	OH
Zip	:	43701-2868
Country	:	US
Telephone Number	:	740-454-0804
Fax Number	:	740-454-7171

Provider Business Practice Location Address
First Line	:	751 FOREST AVE
Second Line	:	STE 300
City	:	ZANESVILLE
State	:	OH
Zip	:	43701-2868
Country	:	US
Telephone Number	:	740-454-0804
Fax Number	:	740-454-7171

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2006
Last Update Date	:	03/24/2011

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Directions to “ DR. ALI NIHAD AL-ASSAAD MD” Practice Location

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