Provider Demographics
NPI:1861791337
Name:GABIR, MARKOU
Entity type:Individual
Prefix:
First Name:MARKOU
Middle Name:
Last Name:GABIR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12500 EDGEWATER DR
Mailing Address - Street 2:APT 303
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-1677
Mailing Address - Country:US
Mailing Address - Phone:440-610-6690
Mailing Address - Fax:
Practice Address - Street 1:5795 STATE RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-2541
Practice Address - Country:US
Practice Address - Phone:440-884-3549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-22
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03227808183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist