Mohammed Mazen Dallal in Dayton - Critical Care Medicine

Mohammed Mazen Dallal - NPI 1366434995

Mohammed Mazen Dallal is a Critical Care Medicine in Dayton, Ohio. Mohammed Mazen Dallal practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Mohammed Mazen Dallal is 1366434995. The last update date is 2022-12-14.

Mohammed Mazen Dallal's current location address is 1520 S Main St, Dayton, Ohio. You can contact this provider via phone number 9374615815 and fax number 9374612896. The mailing address for Mohammed Mazen Dallal is 1520 S Main St, Dayton, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Mohammed Mazen Dallal
Address 1520 S Main St, Dayton, Ohio
Phone Number 9374615815
Fax Number 9374612896
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1366434995
Provider Enumeration Date 2005-08-19
Last Updated Date 2022-12-14

Provider Mailing Address Detail

Address 1520 S Main St
City Dayton
State Ohio (OH)
Post Code 454092698
Phone Number 9374615815
Fax Number 9374612896

Provider's Primary Taxonomy Detail

Speciality Critical Care Medicine
Taxonomy 207Rc0200X
Licence No 35067761
Definition:
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
12616 OH ANTHEM BCBS
178196 OH --
4820106 OH UNITED HEALTHCARE

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FAQs about Mohammed Mazen Dallal

What is the unique 10-digit identification code assigned to Mohammed Mazen Dallal by the Centers for Medicare & Medicaid Services?

The Mohammed Mazen Dallal has been issued the NPI (National Provider Identifier) 1366434995, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Mohammed Mazen Dallal is geographically located?

The Mohammed Mazen Dallal is physically situated at the following location: 1520 S Main St, Dayton, OH, 454092698.

What is Mohammed Mazen Dallal's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mohammed Mazen Dallal is Critical Care Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Rc0200X.

On what date did the Centers for Medicare & Medicaid Services issue the 1366434995 to Mohammed Mazen Dallal?

The Mohammed Mazen Dallal received its 1366434995 assignment from the Centers for Medicare & Medicaid Services on 2005-08-19.

As of what date were the details pertaining to Mohammed Mazen Dallal last refreshed?

The information related to the Mohammed Mazen Dallal, including its address, specialty, and other relevant details, was last updated on 2022-12-14.

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