MEDICARE: DR. DANY RAAD M.D.

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		NY
2	207RG0100X	Gastroenterology Physician	35.124315	OH

General Provider Information

NPI Number	:	1659687721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANY RAAD M.D.

Provider Business Mailing Address
First Line	:	7007 POWERS BLVD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44129-5437
Country	:	US
Telephone Number	:	440-743-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	20800 HARVARD RD
Second Line	:	2ND FLOOR
City	:	HIGHLAND HILLS
State	:	OH
Zip	:	44122-7251
Country	:	US
Telephone Number	:	216-358-2156
Fax Number	:

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

Provider Enumeration Date	:	08/26/2010
Last Update Date	:	01/13/2021

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