Healthcare Provider Details

I. General information

NPI: 1013297225
Provider Name (Legal Business Name): MOHAMED ALALWANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2011
Last Update Date: 10/20/2021
Certification Date: 10/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25200 CENTER RIDGE RD STE 2100
WESTLAKE OH
44145-4146
US

IV. Provider business mailing address

18101 LORAIN AVE FAIRVIEW HOSPITAL
CLEVELAND OH
44111-5612
US

V. Phone/Fax

Practice location:
  • Phone: 440-331-5962
  • Fax: 440-331-5914
Mailing address:
  • Phone: 216-476-7369
  • Fax: 216-476-2944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number35.122212
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number35122212
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: