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Organization
WESTSHORE ALLERGY AND IMMUNOLOGY,LLC
Active
Organization
WESTSHORE ALLERGY AND IMMUNOLOGY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHOLOUD KHALIL WISHAH MD (OWNER)
(440) 541-3081
Entity
Organization
Contact information
Practice address
29160 CENTER RIDGE RD, SUITE A, WESTLAKE, OH 44145-5225
(440) 835-1899
(440) 835-1855
Mailing address
29160 CENTER RIDGE RD, SUITE A, WESTLAKE, OH 44145-5225
(440) 835-1899
(440) 835-1855
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
35076434
OH
Other
Enumeration date
06/15/2007
Last updated
11/21/2013
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