MEDICARE: RAMI NAZEM HACHWI 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	174400000X	Specialist	84277	OH
2	2084N0400X	Neurology Physician	52761	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	:	1144309824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMI NAZEM HACHWI MD

Provider Business Mailing Address
First Line	:	24500 CENTER RIDGE RD STE 375
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-5631
Country	:	US
Telephone Number	:	440-895-5051
Fax Number	:	440-895-5050

Provider Business Practice Location Address
First Line	:	25200 CENTER RIDGE RD STE 2000
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-4154
Country	:	US
Telephone Number	:	216-472-1404
Fax Number	:	440-331-3373

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

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	08/25/2022

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