Healthcare Provider Details

I. General information

NPI: 1578485371
Provider Name (Legal Business Name): ALI AKRAM KHAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 EUCLID AVE
CLEVELAND OH
44106-1716
US

IV. Provider business mailing address

27060 CEDAR RD APT 706
BEACHWOOD OH
44122-1130
US

V. Phone/Fax

Practice location:
  • Phone: 216-844-5525
  • Fax:
Mailing address:
  • Phone: 216-538-2892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number57.259724
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: