Provider Demographics
NPI:1538164777
Name:GALIB, EMILE HANNA (MD)
Entity type:Individual
Prefix:DR
First Name:EMILE
Middle Name:HANNA
Last Name:GALIB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1088 W BALTIMORE PIKE
Mailing Address - Street 2:STE 2306
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-5146
Mailing Address - Country:US
Mailing Address - Phone:610-565-9313
Mailing Address - Fax:610-892-3892
Practice Address - Street 1:1088 W BALTIMORE PIKE
Practice Address - Street 2:STE 2306
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-5146
Practice Address - Country:US
Practice Address - Phone:610-565-9313
Practice Address - Fax:610-892-3892
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD018128Y207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA045555Medicare ID - Type Unspecified
PAB96768Medicare UPIN