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Individual

MOHAMAD Z KOUBEISSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2150 PENNSYLVANIA AVE NW # 9400, WASHINGTON, DC 20037-3201
(216) 280-9433
Mailing address
2150 PENNSYLVANIA AVE NW # 9400, WASHINGTON, DC 20037-3201
(216) 280-9433

Taxonomy

Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
MD040623
DC
2084N0400X
Neurology Physician
MD040623
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000216483
UNISON
OH
01
000000510673
ANTHEM
OH
05
1024173330001
PA
01
1548368970
MICHIGAN MEDICAID
MI
05
2679874
OH
01
363721
WELLCARE MEDICAID
OH
01
742962
BUCKEYE MEDICAID
OH
01
7796867
AETNA
OH
01
P00440903
RAILROAD MEDICARE
OH
Enumeration date
09/20/2006
Last updated
04/01/2025
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