Individual
FNU URUSA MOHAMMED KHALED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22901 MILLCREEK BLVD STE 200, BEACHWOOD, OH 44122-5701
(331) 980-9824
Mailing address
4949 N KIMBALL AVE APT 2W, CHICAGO, IL 60625-5110
(331) 980-9824
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
004921
OH
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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