MEDICARE: NEUROLOGY AND HEADACHE CLINICS OF NW OHIO

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	2084N0400X	Neurology Physician	35075748	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DN3454	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346411915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROLOGY AND HEADACHE CLINICS OF NW OHIO

Provider Business Mailing Address
First Line	:	19645 PROGRESS DR
Second Line	:
City	:	STRONGSVILLE
State	:	OH
Zip	:	44149-3205
Country	:	US
Telephone Number	:	419-517-1110
Fax Number	:	419-517-1109

Provider Business Practice Location Address
First Line	:	3020 N MCCORD RD STE 201
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615-1744
Country	:	US
Telephone Number	:	419-517-1110
Fax Number	:	419-517-1109

Authorized Official
Title or Position	:	OWNER
Name	:	FAIZAN HAFEEZ
Credential	:	MD
Telephone Number	:	419-517-1110

Provider Enumeration Date	:	03/21/2008
Last Update Date	:	03/23/2026

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Practice Location Address:

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Practice Location Address:

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Practice Location Address:

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