MEDICARE: DR. MUDHER NAJAH AL SHATHIR 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	207R00000X	Internal Medicine Physician	52830	TN
2	207R00000X	Internal Medicine Physician	0101251931	VA
3	207RP1001X	Pulmonary Disease Physician	35099669	OH

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457594897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MUDHER NAJAH AL SHATHIR MD

Provider Business Mailing Address
First Line	:	4760 E GALBRAITH RD STE 206
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-6704
Country	:	US
Telephone Number	:	513-791-4490
Fax Number	:	513-791-7287

Provider Business Practice Location Address
First Line	:	4760 E GALBRAITH RD STE 206
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-6704
Country	:	US
Telephone Number	:	513-791-4490
Fax Number	:	513-791-7287

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

Provider Enumeration Date	:	04/15/2009
Last Update Date	:	07/21/2022

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