Individual
DR. MUHANNAD KASSAWAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11369 MARKET ST, NORTH LIMA, OH 44452-9782
(330) 965-9999
(234) 759-3971
Mailing address
11369 MARKET ST, NORTH LIMA, OH 44452-9782
(330) 965-9999
(234) 759-3971
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301505923
MI
2084P0802X
Addiction Psychiatry Physician
Primary
35.092211
OH
2084P0802X
Addiction Psychiatry Physician
ME105224
FL
2084P0802X
Addiction Psychiatry Physician
S2364
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00317310
—
FL
05
—
2903086
—
OH
Enumeration date
09/09/2008
Last updated
06/01/2023
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