Individual
RAED NABIL BOU MATAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8950 EUCLID AVE, CLEVELAND, OH 44106
(216) 444-6123
(216) 448-6015
Mailing address
32635 STONY BROOK LN, SOLON, OH 44139-1938
(216) 318-7099
(216) 448-6015
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
35.096950
OH
390200000X
Student in an Organized Health Care Education/Training Program
003533
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068010
—
OH
Enumeration date
02/19/2009
Last updated
02/18/2022
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