Healthcare Provider Details

I. General information

NPI: 1023927803
Provider Name (Legal Business Name): REHAM ABDELWAHAB HASSAN ALI MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

29675 DEVONSHIRE OVAL
WESTLAKE OH
44145-3894
US

V. Phone/Fax

Practice location:
  • Phone: 216-645-2238
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number75.000102
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: