MEDICARE: METRO HEALTH MEDICAL CENTER

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	282NC2000X	Children's Hospital

General Provider Information

NPI Number	:	1598000952
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METRO HEALTH MEDICAL CENTER

Provider Business Mailing Address
First Line	:	2500 METROHEALTH DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-1900
Country	:	US
Telephone Number	:	216-776-4159
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 METROHEALTH DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-1900
Country	:	US
Telephone Number	:	216-776-4159
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	DR. ABDULLA GHORI
Credential	:	MD, FAAP
Telephone Number	:	216-207-6491

Provider Enumeration Date	:	12/11/2012
Last Update Date	:	12/11/2012

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Directions to “METRO HEALTH MEDICAL CENTER ” Practice Location

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