Individual
LEANNE M CHRISMAN-KHAWAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-1054
(216) 778-8225
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-1054
(216) 778-8225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-079505
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000504065
ANTHEM
OH
05
—
2300594
—
OH
01
—
363425
WELLCARE
OH
01
—
7229295
AETNA
OH
01
—
734337
BUCKEYE
OH
01
—
P00908722
MEDICARE RAILROAD
OH
Enumeration date
07/09/2006
Last updated
11/01/2012
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