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Individual

DR. IHAB O ELHASSAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3533 SOUTHERN BLVD STE 2100, KETTERING, OH 45429-1267
(937) 395-8556
(937) 395-6376
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35126492
OH
2086S0102X
Surgical Critical Care Physician
35126492
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0173116
OH
Enumeration date
06/21/2007
Last updated
07/27/2021
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