Healthcare Provider Details

I. General information

NPI: 1669441580
Provider Name (Legal Business Name): WASSIM A EL-HITTI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 COLUMBIA RD STE 101
WESTLAKE OH
44145-1461
US

IV. Provider business mailing address

805 COLUMBIA RD STE 109
WESTLAKE OH
44145-1461
US

V. Phone/Fax

Practice location:
  • Phone: 216-228-5500
  • Fax: 216-227-2628
Mailing address:
  • Phone: 440-799-4224
  • Fax: 440-799-4228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number35-089623
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0061251
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: