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NPI Code Detail

MEDICARE: ALI SAYED ABDEL AZEEM MD

MEDICARE:   ALI SAYED ABDEL AZEEM  MD
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 Program35.142605OH

General Provider Information

NPI Number : 1760975759
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALI SAYED ABDEL AZEEM MD
Provider Business Mailing Address
First Line : 11100 EUCLID AVE
Second Line : MAILSTOP LKS 5038
City : CLEVELAND
State : OH
Zip : 44106
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 : 216-714-8675
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2018
Last Update Date : 07/08/2021

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Directions to “ ALI SAYED ABDEL AZEEM MD” Practice Location

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