Individual
DR. AMY HEHR KASSOUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1611 S GREEN RD, SUITE 146, SOUTH EUCLID, OH 44121-4128
(216) 382-3806
(216) 382-6735
Mailing address
1611 S GREEN RD, SUITE 146, SOUTH EUCLID, OH 44121-4128
(216) 382-3806
(216) 382-6735
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35065826
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154487932
GROUP NPI
OH
05
—
2070735
—
OH
01
—
9186052
MEDICARE GROUP LEGACY NUM
OH
01
—
9186053
GROUP MEDICARE LEGACY NUM
OH
01
—
9186055
MEDICARE GROUP LEGACY NUM
OH
01
—
9186057
GROUP MEDICARE LEGACY NUM
OH
Enumeration date
12/10/2007
Last updated
01/21/2008
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