Healthcare Provider Details

I. General information

NPI: 1851205264
Provider Name (Legal Business Name): KHALID GRIFFIN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27700 WHITE RD
WILLOUGHBY HILLS OH
44092-2821
US

IV. Provider business mailing address

27700 WHITE RD
WILLOUGHBY HILLS OH
44092-2821
US

V. Phone/Fax

Practice location:
  • Phone: 216-681-9434
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateNULL

VIII. Authorized Official

Name: KHALID GRIFFIN
Title or Position: OWNER
Credential:
Phone: 216-681-9434