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NPI Code Detail

MEDICARE: DR. NASHEED FAKHOURI D.O.

MEDICARE: DR. NASHEED FAKHOURI D.O.
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
1207P00000XEmergency Medicine Physician34.013537OH
2390200000XStudent in an Organized Health Care Education/Training Program

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720437361
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NASHEED FAKHOURI D.O.
Provider Business Mailing Address
First Line : 3000 ARLINGTON AVE STOP 1108
Second Line :
City : TOLEDO
State : OH
Zip : 43614-2595
Country : US
Telephone Number : 419-383-5322
Fax Number :
Provider Business Practice Location Address
First Line : 3000 ARLINGTON AVE STOP 1088
Second Line :
City : TOLEDO
State : OH
Zip : 43614-2595
Country : US
Telephone Number : 419-383-3888
Fax Number : 419-383-2860
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2016
Last Update Date : 01/05/2026

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