Individual
PIERRE M GHOLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-8500
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35-087098
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224361
UNISON
OH
01
—
000000539496
ANTHEM
OH
05
—
2613318
—
OH
01
—
363553
WELLCARE
OH
01
—
741788
BUCKEYE
OH
01
—
7595565
AETNA
OH
01
—
P00320453
RAILROAD MEDICARE
OH
Enumeration date
07/14/2006
Last updated
01/15/2021
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