Individual
DR. CHANTAL A EL AMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3800
Mailing address
24701 EUCLID AVE, 3RD FLORR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35-098037
OH
207RC0000X
Cardiovascular Disease Physician
53316
MN
207RC0000X
Cardiovascular Disease Physician
BP1-0028969
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054260
—
OH
01
—
4651372884
MYUTMB 4651372884
—
05
—
ENROLLED
—
MN
Enumeration date
08/05/2007
Last updated
01/12/2021
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