Provider Demographics
NPI:1144682469
Name:MADHUN, NABIL ZUHAYR (DO)
Entity type:Individual
Prefix:
First Name:NABIL
Middle Name:ZUHAYR
Last Name:MADHUN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6785 W 130TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-7817
Mailing Address - Country:US
Mailing Address - Phone:440-843-8888
Mailing Address - Fax:
Practice Address - Street 1:6785 W 130TH ST STE 101
Practice Address - Street 2:
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-7817
Practice Address - Country:US
Practice Address - Phone:440-843-8888
Practice Address - Fax:440-843-8887
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-25
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.012981207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism