MEDICARE: DR. MOHAMMED LOUAY TAIFOUR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	204E00000X	Oral & Maxillofacial Surgery (D.M.D.)	30.024234	OH

General Provider Information

NPI Number	:	1134460900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMMED LOUAY TAIFOUR

Provider Business Mailing Address
First Line	:	7690 FIRST PL STE D
Second Line	:
City	:	BEDFORD
State	:	OH
Zip	:	44146-6725
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7690 FIRST PL STE D
Second Line	:
City	:	BEDFORD
State	:	OH
Zip	:	44146-6725
Country	:	US
Telephone Number	:	216-539-8253
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2013
Last Update Date	:	06/17/2026

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