Organization
TOLEDO CRITICAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHRAF BANOUB MD (PRESIDENT)
(419) 291-4800
Entity
Organization
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4000
Mailing address
601 WASHINGTON AVE, SUITE 390, NEWPORT, KY 41071-1986
(859) 291-4800
(859) 655-8588
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2011727
—
OH
Enumeration date
04/06/2006
Last updated
02/26/2008
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