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Individual

DR. AMIR M POREH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
3401 ENTERPRISE PKWY STE 340, BEACHWOOD, OH 44122-7340
(216) 577-9342
(855) 506-8346
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6082
OH
103TC0700X
Clinical Psychologist
Primary
6082
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000533017
ANTHEM
OH
01
9582065
AETNA
OH
01
P00668462
MEDICARE RAILROAD
OH
Enumeration date
05/22/2007
Last updated
01/05/2021
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