Individual
NABEEL MUHAMMAD IMAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2702 NAVARRE AVE, 201, OREGON, OH 43616-3223
(419) 698-8560
(419) 698-8570
Mailing address
2702 NAVARRE AVE, 201, OREGON, OH 43616-3223
(419) 698-8560
(419) 698-8570
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
123949
OH
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
APPLIED FOR MEDICARE NUMBER IN OHIO
OH
Enumeration date
04/08/2010
Last updated
07/10/2014
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