MEDICARE: MOHAMMED OSMAN 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	390200000X	Student in an Organized Health Care Education/Training Program	TRN# 20730	FL
2	208600000X	Surgery Physician	35.132318	OH

General Provider Information

NPI Number	:	1326455213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMED OSMAN MD

Provider Business Mailing Address
First Line	:	3351 WARRENSVILLE CENTER RD APT 105
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44122-3770
Country	:	US
Telephone Number	:	201-932-9060
Fax Number	:

Provider Business Practice Location Address
First Line	:	CLEVELAND CLINIC MAIN CAMPUS 9500 EUCLID AVE OH
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-1005
Country	:	US
Telephone Number	:	216-445-9305
Fax Number	:

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

Provider Enumeration Date	:	07/13/2014
Last Update Date	:	03/17/2018

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