Healthcare Provider Details

I. General information

NPI: 1982633103
Provider Name (Legal Business Name): CLEVELAND HEARING & BALANCE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 03/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24755 CHAGRIN BLVD SUITE 310
BEACHWOOD OH
44122-5682
US

IV. Provider business mailing address

24755 CHAGRIN BLVD SUITE 310
BEACHWOOD OH
44122-5682
US

V. Phone/Fax

Practice location:
  • Phone: 440-684-9970
  • Fax: 216-765-1050
Mailing address:
  • Phone: 440-684-9970
  • Fax: 216-765-1050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License Number35-069345
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number35-069345
License Number StateOH

VIII. Authorized Official

Name: MOHAMED A. HAMID
Title or Position: PRESIDENT/OWNER
Credential: MD, PHD
Phone: 440-684-9970