MEDICARE: DR. FARIS EL-KHIDER MD MS

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	207RG0100X	Gastroenterology Physician	35.126627	OH

General Provider Information

NPI Number	:	1144537200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FARIS EL-KHIDER MD MS

Provider Business Mailing Address
First Line	:	25200 CENTER RIDGE RD STE 2600
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-4142
Country	:	US
Telephone Number	:	440-331-5350
Fax Number	:	440-331-5319

Provider Business Practice Location Address
First Line	:	25200 CENTER RIDGE RD STE 2600
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-4142
Country	:	US
Telephone Number	:	440-331-5350
Fax Number	:

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

Provider Enumeration Date	:	09/09/2010
Last Update Date	:	02/04/2022

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