MEDICARE: DR. MAY H AL-ABOUSI MD

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- 071737	OH

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	:	1740256437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAY H AL-ABOUSI MD

Provider Business Mailing Address
First Line	:	PO BOX 74586
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44194-0002
Country	:	US
Telephone Number	:	440-235-3711
Fax Number	:	440-235-3786

Provider Business Practice Location Address
First Line	:	33100 CLEVELAND CLINIC BLVD
Second Line	:
City	:	AVON
State	:	OH
Zip	:	44011-1390
Country	:	US
Telephone Number	:	440-695-4000
Fax Number	:	440-695-4497

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

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	03/07/2018

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