Provider Demographics
NPI:1144099086
Name:KOUREIH, MAYA
Entity type:Individual
Prefix:
First Name:MAYA
Middle Name:
Last Name:KOUREIH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:827 QUAILWOOD CT
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-2226
Mailing Address - Country:US
Mailing Address - Phone:551-502-7602
Mailing Address - Fax:
Practice Address - Street 1:827 QUAILWOOD CT
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-2226
Practice Address - Country:US
Practice Address - Phone:551-502-7602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No172A00000XOther Service ProvidersDriver