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Organization
WEST SIDE CARDIOTHORACIC SURGEONS, INC.
Active
Organization
WEST SIDE CARDIOTHORACIC SURGEONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M. HANI KHADDAM M.D. (PRESIDENT)
(216) 521-3384
Entity
Organization
Contact information
Practice address
15644 MADISON AVE, SUITE #202, LAKEWOOD, OH 44107-5622
(216) 521-3384
(216) 521-3385
Mailing address
PO BOX 567, CHAGRIN FALLS, OH 44022-0567
(216) 464-5160
(216) 464-5982
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
OH
Other
Enumeration date
08/09/2005
Last updated
07/21/2022
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