Healthcare Provider Details

I. General information

NPI: 1609842319
Provider Name (Legal Business Name): MUHAMMED H ZAHRA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 06/10/2022
Certification Date: 06/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2322 E 22ND ST STE 201
CLEVELAND OH
44115-3100
US

IV. Provider business mailing address

PO BOX 932127
CLEVELAND OH
44193-0008
US

V. Phone/Fax

Practice location:
  • Phone: 216-241-8654
  • Fax:
Mailing address:
  • Phone: 216-241-8654
  • Fax: 216-363-3323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35051320Z
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: