Individual
MOAATH KHADER MUSTAFA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10201 CARNEGIE AVE, CLEVELAND, OH 44106-2130
(216) 444-2200
(216) 444-9464
Mailing address
10201 CARNEGIE AVE, CLEVELAND, OH 44106-2130
(216) 444-2200
(216) 444-9464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35129504
OH
207RH0003X
Hematology & Oncology Physician
Primary
35.129504
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0226241
—
OH
Enumeration date
03/28/2014
Last updated
07/12/2022
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