Individual
DR. NABIL B MIGALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
5212 BRANDT PIKE, SUITE A, HUBER HEIGHTS, OH 45424-6137
(937) 233-0748
(937) 233-6086
Mailing address
5212 BRANDT PIKE, SUITE A, HUBER HEIGHTS, OH 45424-6137
(937) 233-0748
(937) 233-6086
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35058434M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000011382
ANTHEM PIN-C
OH
01
—
000000011383
ANTHEM PIN-L
OH
01
—
000000269197
ANTHEM PIN-H
OH
01
—
0685041
PTAN
OH
01
—
0685045
PTAN
OH
01
—
0685048
PTAN
OH
01
—
0685049
PTAN
OH
01
—
0690832
PTAN
OH
Enumeration date
09/20/2005
Last updated
10/05/2009
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