Organization
M BASHAR MAMLOUK MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED MAMLOUK M.D. (OWNER/PRESIDENT)
(440) 356-2715
Entity
Organization
Contact information
Practice address
20455 LORAIN RD STE 104B, FAIRVIEW PARK, OH 44126-3529
(440) 356-2715
(440) 356-6978
Mailing address
30701 LORAIN RD STE A, NORTH OLMSTED, OH 44070-6325
(440) 274-5000
(440) 716-8608
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
05/15/2015
Last updated
06/22/2015
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