MEDICARE: SOUTHWEST FAMILY PHYSICIANS, INC.

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	207Q00000X	Family Medicine Physician	35074996A	OH
2	207Q00000X	Family Medicine Physician	35077155D	OH
3	207Q00000X	Family Medicine Physician	35078742W	OH
4	207Q00000X	Family Medicine Physician	35069313A	OH
5	207Q00000X	Family Medicine Physician	35038312	OH
6	207Q00000X	Family Medicine Physician	35042476	OH
7	207Q00000X	Family Medicine Physician	35037697T	OH
8	207Q00000X	Family Medicine Physician	35089320	OH
9	207Q00000X	Family Medicine Physician	35052685	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942203807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHWEST FAMILY PHYSICIANS, INC.

Provider Business Mailing Address
First Line	:	7225 OLD OAK BLVD
Second Line	:	STE A210
City	:	MIDDLEBURG HEIGHTS
State	:	OH
Zip	:	44130-3339
Country	:	US
Telephone Number	:	440-816-2750
Fax Number	:

Provider Business Practice Location Address
First Line	:	7225 OLD OAK BLVD
Second Line	:	STE A210
City	:	MIDDLEBURG HEIGHTS
State	:	OH
Zip	:	44130-3339
Country	:	US
Telephone Number	:	440-816-2750
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GHASSAN A ABDALLAH
Credential	:	M.D.
Telephone Number	:	440-816-2750

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	03/07/2022

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Directions to “SOUTHWEST FAMILY PHYSICIANS, INC. ” Practice Location

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