Healthcare Provider Details

I. General information

NPI: 1013974856
Provider Name (Legal Business Name): WALID I SALIBA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 05/16/2022
Certification Date: 05/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE # J2-2
CLEVELAND OH
44195-1704
US

IV. Provider business mailing address

9500 EUCLID AVE # J2-2
CLEVELAND OH
44195-0002
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-6810
  • Fax: 216-636-6950
Mailing address:
  • Phone: 216-444-6811
  • Fax: 216-636-6950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35073905
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number35-073905
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: