# RISE MEDICAL GROUP, LLC

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

## Provider details

- **NPI number:** 1285864488
- **Authorized official:** HESHAM EL GAMAL MD (OWNER)
- **Authorized official phone:** (617) 216-2945

## Contact information

- **Practice address:** 960 W WOOSTER ST STE 107, BOWLING GREEN, OH 43402-2646
- **Practice address phone:** (419) 373-7692
- **Mailing address:** PO BOX 72369, CLEVELAND, OH 44192-0002
- **Mailing address phone:** (419) 353-7069
- **Mailing address fax:** (419) 353-7076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | 35084310 | OH | — |
| 207RP1001X | Pulmonary Disease Physician | 35084310 | OH | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 35084310 | OH | — |

## Other

- **Enumeration date:** 07/22/2009
- **Last updated:** 06/17/2011
