Boutros, Nihad M

Boutros, Nihad M is an individual health care provider with primary practice located at 2600 Tuscarawas St W Ste 100, Canton OH 44708-4696. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Boutros, Nihad M can be contacted via phone (330) 452-8844.

Contact Information

Primary practice address
2600 Tuscarawas St W Ste 100 Canton OH 44708-4696
Phone: (330) 452-8844
Fax: (330) 452-7012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 35-065732 Ohio
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 35-065732 Ohio
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 35-065732 Ohio

Profile Details

NPI number 1508869454
LBN Legal business name Boutros, Nihad M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jan 5th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508869454 NPPES
Ohio MEDICAID 2401672
Ohio Other 341574729F
Ohio Other 733560
Ohio Other 000000186380
Ohio Other 000000283988
Ohio Other 341574729036
Ohio Other Q035419

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