Individual
MOTASEM MUSTAFA ALKHAYYAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE # NA23, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
9500 EUCLID AVE # NA23, CLEVELAND, OH 44195-0001
(216) 444-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01092926A
IN
207R00000X
Internal Medicine Physician
Primary
57.245539
OH
207RG0100X
Gastroenterology Physician
01092926A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104175764
ANTHEM PTAN
IN
05
—
300089357
—
IN
Enumeration date
07/17/2018
Last updated
02/26/2025
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