MEDICARE: ANAS MARII M.D

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	207R00000X	Internal Medicine Physician	35.143059	OH
2	207RP1001X	Pulmonary Disease Physician	35.143059	OH
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	35.143059	OH

General Provider Information

NPI Number	:	1134650930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANAS MARII M.D

Provider Business Mailing Address
First Line	:	3715 BERKELEY RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44118-1942
Country	:	US
Telephone Number	:	919-539-2071
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-1099
Country	:	US
Telephone Number	:	216-410-0207
Fax Number	:

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

Provider Enumeration Date	:	03/23/2017
Last Update Date	:	10/09/2024

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