MEDICARE: DR. MAROUN T SEMAAN M.D

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	207YX0901X	Otology & Neurotology Physician	35.093839	OH
2	207Y00000X	Otolaryngology Physician	35-093839	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	:	1255509626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAROUN T SEMAAN M.D

Provider Business Mailing Address
First Line	:	26300 VILLAGE LN
Second Line	:	APT# 213
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-7565
Country	:	US
Telephone Number	:	216-342-4254
Fax Number	:

Provider Business Practice Location Address
First Line	:	11100 EUCLID AVE
Second Line	:	LKS 5045
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1716
Country	:	US
Telephone Number	:	216-844-5500
Fax Number	:

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

Provider Enumeration Date	:	02/19/2008
Last Update Date	:	12/13/2020

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