| Dr Badi Altawil Md Llc | |
|
4439a Mahoning Ave Nw Warren OH 44483-1932 | |
| (330) 847-6527 | |
| (330) 847-6572 |
| Full Name | Dr Badi Altawil Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4439a Mahoning Ave Nw, Warren, Ohio |
| Authorized Official Name and Position | Julie Altawil (OFFICE MANAGER) |
| Authorized Official Contact | 3308476527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Badi Altawil Md Llc 4439a Mahoning Ave Nw Warren OH 44483-1932 Ph: (330) 847-6527 | Dr Badi Altawil Md Llc 4439a Mahoning Ave Nw Warren OH 44483-1932 Ph: (330) 847-6527 |
| NPI Number | 1891751996 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 06/19/2008 |
| Medicare PECOS PAC ID | 2567457997 |
|---|---|
| Medicare Enrollment ID | O20040416000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891751996 | NPI | - | NPPES |
| 2137842 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35072864 (Ohio) | Primary |
| Provider Name | Badi Altawil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841281797 PECOS PAC ID: 7911992342 Enrollment ID: I20040426000711 |
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