MEDICARE: DR. SAMEER MEMON

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	208C00000X	Colon & Rectal Surgery Physician	8888888	OH

General Provider Information

NPI Number	:	1609284850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMEER MEMON

Provider Business Mailing Address
First Line	:	3353 HOLLISTER RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44118-1325
Country	:	US
Telephone Number	:	216-233-0080
Fax Number	:

Provider Business Practice Location Address
First Line	:	3353 HOLLISTER RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44118-1325
Country	:	US
Telephone Number	:	216-233-0080
Fax Number	:

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

Provider Enumeration Date	:	07/31/2014
Last Update Date	:	07/31/2014

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Directions to “ DR. SAMEER MEMON ” Practice Location

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