MEDICARE: DR. AMY ARSZMAN DASO MD

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	208000000X	Pediatrics Physician	35082206	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

General Provider Information

NPI Number	:	1134108228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY ARSZMAN DASO MD

Provider Business Mailing Address
First Line	:	17436 EDGEWATER DR
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-1120
Country	:	US
Telephone Number	:	216-228-1537
Fax Number	:

Provider Business Practice Location Address
First Line	:	14701 DETROIT AVE
Second Line	:	SUITE 250
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-4115
Country	:	US
Telephone Number	:	216-221-5901
Fax Number	:	216-221-5881

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	12/06/2011

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