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NPI Code Detail

MEDICARE: DR. ABD ELRAHMAN MOHAMED ELHASSANIN

MEDICARE: DR. ABD ELRAHMAN MOHAMED ELHASSANIN
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 ProgramOH

General Provider Information

NPI Number : 1861321796
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABD ELRAHMAN MOHAMED ELHASSANIN
Provider Business Mailing Address
First Line : PO BOX 1514
Second Line :
City : CARMICHAEL
State : CA
Zip : 95609-1514
Country : US
Telephone Number : 916-738-1771
Fax Number :
Provider Business Practice Location Address
First Line : 22901 MILLCREEK BLVD STE 200
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-5721
Country : US
Telephone Number : 216-377-6050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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