MEDICARE: RAMI N. HACHWI, M.D., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	35-084277	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023234069
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAMI N. HACHWI, M.D., INC.

Provider Business Mailing Address
First Line	:	PO BOX 451184
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-0630
Country	:	US
Telephone Number	:	216-889-9088
Fax Number	:	216-889-9205

Provider Business Practice Location Address
First Line	:	18099 LORAIN AVE STE 308
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44111-5611
Country	:	US
Telephone Number	:	216-889-9088
Fax Number	:	216-889-9205

Authorized Official
Title or Position	:	OWNER
Name	:	RAMI N HACHWI
Credential	:	M.D.
Telephone Number	:	216-889-9088

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	06/21/2018

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