Provider Demographics
NPI:1033104385
Name:AFANEH, ZUHAIR (MD)
Entity type:Individual
Prefix:
First Name:ZUHAIR
Middle Name:
Last Name:AFANEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1141 N. MONROE DR
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385
Mailing Address - Country:US
Mailing Address - Phone:937-352-2581
Mailing Address - Fax:937-352-3580
Practice Address - Street 1:1141 N MONROE DR
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385-1619
Practice Address - Country:US
Practice Address - Phone:937-352-2581
Practice Address - Fax:937-352-3580
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD065602L207R00000X
OH35087895208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00446749OtherRAILROAD MEDICARE
OH2738676Medicaid
OH2738676Medicaid
OH4204231Medicare PIN
OH4204232Medicare PIN