Individual
BACHAR DERGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(800) 223-2273
Mailing address
6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2139
(800) 223-2273
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35071321D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2106938
—
OH
Enumeration date
09/21/2006
Last updated
01/30/2008
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