Individual
JIHANE FARESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-8500
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
89067
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224452
UNISON
OH
01
—
000000539550
ANTHEM
OH
05
—
2765002
—
OH
01
—
414970
WELLCARE
OH
01
—
751133
BUCKEYE
—
01
—
9904056
AETNA
OH
01
—
P00449345
RAILROAD MEDICARE
OH
Enumeration date
02/21/2007
Last updated
12/13/2020
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