Bou Matar, Raed Nabil

Bou Matar, Raed Nabil is an individual health care provider with primary practice located at 8950 Euclid Ave , Cleveland OH 44106. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is his primary health care specialty. Bou Matar, Raed Nabil can be contacted via phone (216) 444-6123.

Contact Information

Primary practice address
8950 Euclid Ave Cleveland OH 44106
Phone: (216) 444-6123
Fax: (216) 448-6015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 003533 Georgia
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 35.096950 Ohio

Profile Details

NPI number 1275772931
LBN Legal business name Bou Matar, Raed Nabil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2009
Last updated Feb 18th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275772931 NPPES
Ohio MEDICAID 0068010

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