MEDICARE: DR. NADER SEYED ROHENY 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
1	207R00000X	Internal Medicine Physician	35065537	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000137980	OTHER	OH	UNICARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000137980	OTHER	OH	ANTHEM BLUE SHIELD

General Provider Information

NPI Number	:	1861599433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NADER SEYED ROHENY MD

Provider Business Mailing Address
First Line	:	6731 RIDGE RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44129-5708
Country	:	US
Telephone Number	:	440-885-0620
Fax Number	:	440-885-0667

Provider Business Practice Location Address
First Line	:	6731 RIDGE RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44129-5708
Country	:	US
Telephone Number	:	440-885-0620
Fax Number	:	440-885-0667

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

Provider Enumeration Date	:	09/17/2006
Last Update Date	:	03/05/2008

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