Healthcare Provider Details

I. General information

NPI: 1174961379
Provider Name (Legal Business Name): COSMIC WOMEN HEALTH OASIS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2013
Last Update Date: 06/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20525 CENTER RIDGE RD STE 402
ROCKY RIVER OH
44116-3435
US

IV. Provider business mailing address

20525 CENTER RIDGE RD STE 402
ROCKY RIVER OH
44116-3435
US

V. Phone/Fax

Practice location:
  • Phone: 440-895-5091
  • Fax: 440-895-5093
Mailing address:
  • Phone: 440-895-5091
  • Fax: 440-895-5093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2088F0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DR ALFIDA RAMAHI MD
Title or Position: OWNER
Credential: MD
Phone: 440-895-5091