MEDICARE: FAWZIAH SALEH MS, RDN, LD

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	133V00000X	Registered Dietitian	08960	OH

General Provider Information

NPI Number	:	1346919412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAWZIAH SALEH MS, RDN, LD

Provider Business Mailing Address
First Line	:	24566 CLARESHIRE DR UNIT I
Second Line	:
City	:	NORTH OLMSTED
State	:	OH
Zip	:	44070-3538
Country	:	US
Telephone Number	:	252-363-2863
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-3538
Country	:	US
Telephone Number	:	216-444-3046
Fax Number	:

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

Provider Enumeration Date	:	09/10/2021
Last Update Date	:	04/16/2024

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