Individual
ROD REZAEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-6000
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35073033
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221167
UNISON
OH
01
—
000000503674
ANTHEM
OH
05
—
1154423887
—
MI
01
—
200873460
IN MEDICAID
IN
01
—
2183122
BCMH
OH
05
—
2183122
—
OH
01
—
352796
WELLCARE
OH
01
—
739244
BUCKEYE
OH
01
—
7457359
AETNA
OH
01
—
P00353695
RAILROAD MEDICARE
OH
Enumeration date
09/02/2006
Last updated
12/02/2020
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