Individual
KHALEEL DEEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7575 NORTHCLIFF AVE, SUITE 304, BROOKLYN, OH 44144-3267
(216) 749-8265
(216) 749-8222
Mailing address
3535 LEE RD, SHAKER HEIGHTS, OH 44120-5122
(216) 417-6166
(216) 417-8676
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35060323D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000031846
ANTHEM
—
01
—
080097144
RAILROAD MEDICARE
OH
05
—
0880186
—
OH
01
—
102976
KAISER
OH
01
—
102976
KAISER
—
01
—
10790454
CAQH
OH
01
—
10790454
CAQH
—
01
—
1780634279
GROUP NPI
—
01
—
34-1783
GROUP TIN
—
01
—
341783789036
CARE SOURCE
—
01
—
3610861
ASC MEDICARE GROUP
OH
01
—
4255074
AETNA
OH
01
—
9273172
MEDICARE GROUP
OH
01
—
CA4511
RR MEDICARE GROUP
—
01
—
D368301
DIAGNOSTIC GROUP MEDICARE
OH
01
—
F60323
SUMMACARE APEX
—
Enumeration date
02/23/2006
Last updated
11/28/2018
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