Doctor Name: | MR. GHULAM GHOUS |
NPI Number: | 1003260787 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | |
Business Practice Address: | 2213 Franklin Ave Mercy Family Care Center Toledo, OH - 43620 |
Business Phone Number: | 4192512360 |
Business Fax Number: | 4192512343 |
Mailing Address: | 2213 Cherry St., Mercy St. Vincent Medical Center TOLEDO |
State: | OH |
Postal Code: | 43608 |
Phone Number: | 4192514554 |
Fax Number: | 4192516795 |
NPI Enumeration Date: | 04/19/2016 |
NPI Last Update Date: | 04/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |