Individual
AZIZA A WAHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4350 CROCKER RD STE 300, WESTLAKE, OH 44145
(440) 646-1600
(440) 646-1505
Mailing address
2971 PAXTON RD, SHAKER HTS, OH 44120-1823
(216) 932-5200
(216) 932-5212
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
34011998
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0127078
—
OH
01
—
H558291
MEDICARE
OH
Enumeration date
07/11/2012
Last updated
10/08/2018
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