# WESTSHORE ALLERGY AND IMMUNOLOGY,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013112630
- **Authorized official:** DR. KHOLOUD KHALIL WISHAH MD (OWNER)
- **Authorized official phone:** (440) 541-3081

## Contact information

- **Practice address:** 29160 CENTER RIDGE RD, SUITE A, WESTLAKE, OH 44145-5225
- **Practice address phone:** (440) 835-1899
- **Practice address fax:** (440) 835-1855
- **Mailing address:** 29160 CENTER RIDGE RD, SUITE A, WESTLAKE, OH 44145-5225
- **Mailing address phone:** (440) 835-1899
- **Mailing address fax:** (440) 835-1855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 35076434 | OH | Yes |

## Other

- **Enumeration date:** 06/15/2007
- **Last updated:** 11/21/2013