Healthcare Provider Details

I. General information

NPI: 1821484692
Provider Name (Legal Business Name): DAVID MOSSAD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2015
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 EMBASSY PKWY STE 100
AKRON OH
44333-8389
US

IV. Provider business mailing address

3800 EMBASSY PKWY STE 100
AKRON OH
44333-8389
US

V. Phone/Fax

Practice location:
  • Phone: 330-869-0124
  • Fax: 330-869-2852
Mailing address:
  • Phone: 330-869-0124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number35.141288
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: