MEDICARE: NOOR GHANEM

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	183500000X	Pharmacist	03446440	OH

General Provider Information

NPI Number	:	1518815687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOOR GHANEM

Provider Business Mailing Address
First Line	:	1317 CROSSINGS PKWY
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-6201
Country	:	US
Telephone Number	:	216-354-5788
Fax Number	:

Provider Business Practice Location Address
First Line	:	22160 CENTER RIDGE RD
Second Line	:
City	:	ROCKY RIVER
State	:	OH
Zip	:	44116-3926
Country	:	US
Telephone Number	:	440-356-3287
Fax Number	:

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

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	05/19/2026

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Directions to “ NOOR GHANEM ” Practice Location

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