Individual
MOHAMED M AL-MADANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 5TH ST NE, BARBERTON, OH 44203-3332
(330) 745-1611
Mailing address
PO BOX 30633, CLEVELAND, OH 44130-0633
(440) 879-0081
(440) 879-0084
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35-043768
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000311271
ANTHEM
OH
05
—
0417392
—
OH
Enumeration date
02/28/2006
Last updated
07/11/2007
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