MEDICARE: MAZEN MAHJOUB MD INC

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

General Provider Information

NPI Number	:	1548197684
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAZEN MAHJOUB MD INC

Provider Business Mailing Address
First Line	:	9375 E MARKET ST STE 3
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44484-5552
Country	:	US
Telephone Number	:	330-392-0100
Fax Number	:	330-392-0047

Provider Business Practice Location Address
First Line	:	9375 E MARKET ST STE 3
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44484-5552
Country	:	US
Telephone Number	:	330-392-0100
Fax Number	:	330-392-0047

Authorized Official
Title or Position	:	OWNER
Name	:	MAZEN A MAHJOUB
Credential	:	MD
Telephone Number	:	330-717-6003

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/14/2026

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