Individual
AHMED FAWZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1170 E BROAD ST, SUITE 102, ELYRIA, OH 44035-6351
(440) 323-3574
(440) 323-3552
Mailing address
20455 LORAIN RD, T01, FAIRVIEW PARK, OH 44126-3494
(440) 799-4224
(440) 799-4228
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35-07-6595F
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2227772
—
OH
Enumeration date
07/03/2006
Last updated
02/16/2015
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