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NPI Code Detail

MEDICARE: DOUA ELAMIN

MEDICARE: DOUA ELAMIN
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1528648029
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUA ELAMIN
Provider Business Mailing Address
First Line : 1401 PROSPECT AVE E APT 701
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2346
Country : US
Telephone Number : 216-394-6921
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 216-444-1754
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2021
Last Update Date : 04/09/2021

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Directions to “ DOUA ELAMIN ” Practice Location

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