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Organization
BADR K. GHUMRAWI, M.D. INC.
Active
Organization
BADR K. GHUMRAWI, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BADR K GHUMRAWI MD (PRESIDENT, OWNER)
(330) 296-2829
Entity
Organization
Contact information
Practice address
6693 N CHESTNUT ST, SUITE 268A, RAVENNA, OH 44266-3922
(330) 296-2829
(330) 296-7202
Mailing address
6693 N CHESTNUT ST, SUITE 268A, RAVENNA, OH 44266-3922
(330) 296-2829
(330) 296-7202
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35036836
OH
2086S0129X
Vascular Surgery Physician
35036836
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35036836
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000129043
ANTHEM
—
05
—
0231538
—
OH
01
—
099507636
WORKERS COMPENSATION
—
01
—
100430
KAISER
—
01
—
27174
NATIONWIDE
—
01
—
4132029
AETNA
—
01
—
71479
QUALCHOICE
—
Enumeration date
01/27/2008
Last updated
09/09/2011
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