Individual
DR. ABDUL M ORRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13535 DETROIT AVE #4, LAKEWOOD, OH 44107
(216) 226-2626
(216) 226-6745
Mailing address
PO BOX 357, N OLMSTED, OH 44070-0357
(216) 226-2626
(216) 226-6745
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34003811
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0582570
—
OH
Enumeration date
12/18/2006
Last updated
01/11/2012
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