Individual
DR. HAITHAM M AZEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
88 CENTER RD STE 130, BEDFORD, OH 44146-2708
(440) 232-4455
(440) 232-3147
Mailing address
PO BOX 74113, CLEVELAND, OH 44194-4113
(216) 383-6776
(216) 383-6745
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35056391
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0726021
—
OH
Enumeration date
08/08/2006
Last updated
12/29/2020
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