Organization
NORTHCOAST PAIN MANAGEMENT ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMAN F SALLOUHA (BILLING MANAGER)
(440) 360-7967
Entity
Organization
Contact information
Practice address
25200 CENTER RIDGE RD STE 3400, WESTLAKE, OH 44145-4145
(440) 331-4559
(440) 331-4843
Mailing address
PO BOX 45092, WESTLAKE, OH 44145-0092
(440) 331-4559
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2186512
—
OH
01
—
CH1642
RAILROAD MEDICARE
OH
Enumeration date
08/25/2005
Last updated
11/09/2016
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