Individual
ELIE R GHAZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 E APPLE ST, SUITE 3300, DAYTON, OH 45409-2939
(937) 208-8394
(937) 208-8388
Mailing address
30 E APPLE ST, SUITE 3300, DAYTON, OH 45409-2939
(937) 208-8394
(937) 208-8388
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35071117G
OH
208M00000X
Hospitalist Physician
35.071117
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2088002
—
OH
Enumeration date
05/18/2006
Last updated
12/02/2013
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