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Individual

DR. MOURAD ABDELMESSIH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1916 TAMARACK RD, NEWARK, OH 43055-2303
(740) 522-6110
(740) 522-0126
Mailing address
1916 TAMARACK RD, NEWARK, OH 43055-2303
(740) 322-3794
(740) 522-0126

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
35070805
OH
2084N0400X
Neurology Physician
Primary
35070805
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000314456
ANTHEM
OH
01
00083088
MEDICARE RAILROAD
OH
05
0342445
OH
01
0501309
UNITED HEALTHCARE
OH
01
9339121
MEDICARE GROUP
OH
01
DA5551
MEDICARE RAILROAD GROUP
OH
Enumeration date
06/09/2005
Last updated
05/14/2024
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