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Organization
SERWAH MEDICAL GROUP, INC
Active
Organization
SERWAH MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEAH ABASHIDZE MD (EMPLOYEE)
(216) 541-3600
Entity
Organization
Contact information
Practice address
1831 FOREST HILLS BLVD, #102, E CLEVELAND, OH 44112-4348
(216) 541-3600
(216) 541-5528
Mailing address
4758 RIDGE RD, #161, CLEVELAND, OH 44144-3327
(440) 235-8484
(440) 235-8440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35083950-A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336179647
NPI
OH
05
—
2531460
—
OH
Enumeration date
03/21/2007
Last updated
07/26/2010
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