Issa, Khaled
Issa, Khaled is an individual health care provider with primary practice located at 30701 Clemens Rd , Westlake OH 44145-1074. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Issa, Khaled can be contacted via phone (440) 617-1212.Contact Information
Primary practice address
30701 Clemens Rd
Westlake OH 44145-1074
Phone: (440) 617-1212
Fax: (440) 617-1213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 35058319 | Ohio |
Profile Details
| NPI number | 1801818646 |
|---|---|
| LBN Legal business name | Issa, Khaled |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Aug 12th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801818646 | NPPES |
| Ohio | MEDICAID | 0844439 | |
| Ohio | Other | 100014941 |
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