Individual
DR. GHASOUB HARB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
036093919
IL
208800000X
Urology Physician
Primary
31158
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139048
—
IA
05
—
036093919
—
IL
01
—
340011843
MEDICARE RAILROAD
IA
01
—
340012664
MEDICARE RAILROAD
IL
Enumeration date
05/24/2005
Last updated
09/29/2021
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