Healthcare Provider Details

I. General information

NPI: 1275566978
Provider Name (Legal Business Name): BEDFORD ANESTHESIOLOGISTS AND PAIN MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 BLAINE AVE
BEDFORD OH
44146-2709
US

IV. Provider business mailing address

44 BLAINE AVE
BEDFORD OH
44146-2709
US

V. Phone/Fax

Practice location:
  • Phone: 440-735-3643
  • Fax: 440-232-8363
Mailing address:
  • Phone: 440-735-3643
  • Fax: 440-232-8363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number StateOH

VIII. Authorized Official

Name: DR. AMIR DAWOUD
Title or Position: PRESIDENT
Credential: MD
Phone: 440-735-3643