Organization
INTEGRATED HEALTH SERVICES MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANSOOR AHMED MD (CHIEF FINANCIAL OFFICER)
(440) 239-7533
Entity
Organization
Contact information
Practice address
21625 CHAGRIN BLVD, SUITE 120, BEACHWOOD, OH 44122-5363
(216) 283-2123
(216) 283-2126
Mailing address
17900 JEFFERSON PARK RD, SUITE 102, CLEVELAND, OH 44130-3437
(440) 274-5035
(440) 260-6153
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
35-064007
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000121632
ANTHEM
OH
01
—
4316806
AETNA
OH
01
—
69713
QUALCHOICE
OH
Enumeration date
08/31/2006
Last updated
10/03/2016
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