Basic Information
Provider Information
NPI: 1073908356
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AL ROBEH
FirstName: HUSSAIN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3000 ARLINGTON AVE
Address2: MS 1050 GRADUATE MEDICAL EDUCATION
City: TOLEDO
State: OH
PostalCode: 436142595
CountryCode: US
TelephoneNumber: 4193836821
FaxNumber: 4193836180
Practice Location
Address1: 3000 ARLINGTON AVE
Address2: MS 1050 GRADUATE MEDICAL EDUCATION
City: TOLEDO
State: OH
PostalCode: 436142595
CountryCode: US
TelephoneNumber: 4193836821
FaxNumber: 4193836180
Other Information
ProviderEnumerationDate: 04/02/2015
LastUpdateDate: 04/02/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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