Organization
CARDIOLOGY ONE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMAD S KASSIR M.D (PRESIDENT)
(330) 489-1386
Entity
Organization
Contact information
Practice address
4466 FULTON DR NW, CANTON, OH 44718-2864
(330) 489-1386
(330) 526-0069
Mailing address
4466 FULTON DR NW, CANTON, OH 44718-2864
(330) 489-1386
(330) 526-0127
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0980710
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0980710
—
OH
01
—
9269611
OTHER MEDICARE
OH
Enumeration date
09/22/2006
Last updated
10/20/2015
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