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Individual

HAYDER M KADHIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1730 W 25TH ST, STE 3A, CLEVELAND, OH 44113
(216) 771-3413
(216) 771-5028
Mailing address
24651 CENTER RIDGE RD STE 350, WESTLAKE, OH 44145-5627
(440) 895-5056
(440) 895-5050

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35-082640
OH
2084V0102X
Vascular Neurology Physician
35-082640
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000286913
ANTHEM
01
0119204
GROUP MEDICAID
01
103878
KAISER
01
10909331
CAQH
01
1780634279
GROUP NPI
05
2406337
OH
01
341783789102
CARESOURCE
01
3610861
GROUP ASC MEDICARE
01
7947510
AETNA
01
9273172
GROUP MEDICARE
01
CA4511
RR MEDICARE GROUP
01
D368301
GROUP IND DIAGNOSTICS MED
01
F82640
SUMMACARE APEX
01
P00077122
RR MEDICARE INDIVIDUAL
Enumeration date
02/23/2006
Last updated
06/07/2018
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