Provider Demographics
NPI:1386484590
Name:BISISO, NABEEL MAIEN MARWAN (MD)
Entity type:Individual
Prefix:
First Name:NABEEL
Middle Name:MAIEN MARWAN
Last Name:BISISO
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:JEWISH HOSPITAL
Mailing Address - Street 2:4777 E. GALBRIATH ROAD
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236
Mailing Address - Country:US
Mailing Address - Phone:513-307-1698
Mailing Address - Fax:
Practice Address - Street 1:JEWISH HOSPITAL-INTERNAL MEDICINE PROGRAM
Practice Address - Street 2:4777 E. GALBRIATH ROAD
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236
Practice Address - Country:US
Practice Address - Phone:513-307-1698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-28
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty