Healthcare Provider Details

I. General information

NPI: 1598736902
Provider Name (Legal Business Name): KAREEM M ABU-ELMAGD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 03/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE A100
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

9500 EUCLID AVE A100
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-445-8876
  • Fax:
Mailing address:
  • Phone: 216-445-8876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD048249L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License NumberMD048249L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: