Individual
MOURAD FANOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5255 N. ABBE ROAD, VA CLINIC, SHEFFIELD VILLAGE, OH 44035-3779
(440) 934-9158
Mailing address
5255 N. ABBE ROAD, V.A. CLINIC, SHEFFIELD VILLAGE, OH 44035-3779
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.049568
OH
Other
Enumeration date
08/15/2006
Last updated
08/05/2016
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