Individual
DR. ABDULWAHED HAMOUD QOTAYNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7850 MENTOR AVE, SUITE 368, MENTOR, OH 44060-5520
(440) 974-6793
Mailing address
7850 MENTOR AVE, SUITE 368, MENTOR, OH 44060-5520
(440) 974-6793
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5148
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2390087
—
OH
Enumeration date
07/11/2006
Last updated
07/08/2007
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