Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexander David Ghannam, MD

Individual provider Surgery Physician · NPI 1043715501

Alexander David Ghannam, MD is a Cardiac Surgery in Toledo, Ohio. Graduated from Central Michigan College of Medicine in 2018, 8 years ago. Practices with Promedica Central Physicians, a 784-clinician group and accepts Medicare assignment. Licensed in Florida and Ohio.

Years since qualifying
8
Trained at
Central Michigan College of Medicine
Licensed in
FL, OH
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2109 Hughes Dr # 720
Toledo, OH 43606-3858
Phone: (419) 291-2077
Fax: (419) 291-2122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 35.149681 (OH)
Surgery Physician Taxonomy 208600000X · Licence TRN26700 (FL)

Record details

NPI number1043715501
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2018
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024
Mailing address100 Madison Ave, Toledo, OH 43604-1516

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIAC SURGERY
Medical schoolCENTRAL MICHIGAN COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Promedica Central Physicians — 784 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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