Individual
DHAFIR AL-FAYADH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10654 LORAIN AVE, CLEVELAND, OH 44111-5411
(440) 879-0081
Mailing address
10654 LORAIN AVE, CLEVELAND, OH 44111-5411
(216) 476-7000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-033990
OH
Other
Enumeration date
11/10/2008
Last updated
11/11/2008
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