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NPI Code Detail

MEDICARE: ALI HUSSEIN GHANDOUR MD

MEDICARE:   ALI HUSSEIN GHANDOUR  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
1207RC0000XCardiovascular Disease Physician4301509482MI
2207RC0000XCardiovascular Disease Physician35.155508OH

General Provider Information

NPI Number : 1811524168
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALI HUSSEIN GHANDOUR MD
Provider Business Mailing Address
First Line : 2940 N MCCORD RD
Second Line :
City : TOLEDO
State : OH
Zip : 43615-1753
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2940 N MCCORD RD
Second Line :
City : TOLEDO
State : OH
Zip : 43615-1753
Country : US
Telephone Number : 419-842-3000
Fax Number : 419-843-3047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2020
Last Update Date : 05/11/2026

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Directions to “ ALI HUSSEIN GHANDOUR MD” Practice Location

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