Individual
OSAMA MITRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 363-2180
(330) 363-2179
Mailing address
PO BOX 80690, CANTON, OH 44708-0690
(330) 833-5530
(330) 833-6085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-077131
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401531
UNITED HEALTH CARE
OH
05
—
2189297
—
OH
01
—
279626
ANTHEM BLUE CROSS AND BLU
OH
01
—
56-2352995
AULTCARE
OH
01
—
7860071
AETNA
OH
01
—
95202
SUMMA HEALTH CARE
OH
01
—
P00006997
RAILROAD MEDICARE
OH
Enumeration date
08/07/2006
Last updated
08/11/2008
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