Individual
RANDALL L LABAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
235 KENWOOD DR, COSHOCTON, OH 43812-1997
(740) 623-2323
(740) 623-0654
Mailing address
3060 SHAW RD, ZANESVILLE, OH 43701-7194
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34005788L
OH
208D00000X
General Practice Physician
Primary
34-005788
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000302734
BCBS
OH
05
—
0931915
—
OH
01
—
P00034684
MEDICARE RAIL ROAD
OH
01
—
P00034687
RAIL ROAD MEDICARE
—
Enumeration date
05/11/2006
Last updated
08/04/2016
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