Individual
DR. ADNAN H TAHIR-FADLALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4758 RIDGE RD, #161, CLEVELAND, OH 44144-3327
(440) 236-8484
Mailing address
2322 E 22ND ST, SUITE 200, CLEVELAND, OH 44115-3176
(216) 363-2556
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35057864-T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0884619
—
OH
Enumeration date
07/03/2006
Last updated
07/08/2007
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