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NPI Code Detail

MEDICARE: SIHAM CHAFFAG

MEDICARE: SIHAM CHAFFAG
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
1367H00000XAnesthesiologist Assistant67.000476OH

General Provider Information

NPI Number : 1598440893
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIHAM CHAFFAG
Provider Business Mailing Address
First Line : 1348 BROCKLEY AVE
Second Line :
City : LAKEWOOD
State : OH
Zip : 44107-2415
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11100 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number : 216-571-4607
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2023
Last Update Date : 12/10/2025

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Directions to “ SIHAM CHAFFAG ” Practice Location

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