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NPI Code Detail

MEDICARE: HASSAN ELMALEH

MEDICARE: HASSAN ELMALEH
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 : 1609628304
Entity Type Code : Individual
Provider Name (Legal Business Name) : HASSAN ELMALEH
Provider Business Mailing Address
First Line : 1945 E 123RD ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1805
Country : US
Telephone Number : 206-507-8455
Fax Number :
Provider Business Practice Location Address
First Line : 1945 E 123RD ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1805
Country : US
Telephone Number : 216-507-8455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2024
Last Update Date : 04/04/2024

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Directions to “ HASSAN ELMALEH ” Practice Location

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