Provider Demographics
NPI:1093564460
Name:ELZEIN, FATEHI
Entity type:Individual
Prefix:
First Name:FATEHI
Middle Name:
Last Name:ELZEIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:FATEHI
Other - Middle Name:
Other - Last Name:ELZEIN SAAD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MSCCTM, DTM&H
Mailing Address - Street 1:4558 GUILDFORD DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-8568
Mailing Address - Country:US
Mailing Address - Phone:513-954-3253
Mailing Address - Fax:
Practice Address - Street 1:200 ALBERT SABIN WAY
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45267-2800
Practice Address - Country:US
Practice Address - Phone:513-441-4397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.256028207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease