Individual
BASHAR KATIRJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3192
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35-049252
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221091
UNISON
OH
01
—
000000510672
ANTHEM
OH
01
—
0641968
AETNA
OH
01
—
0666220
BCMH
OH
05
—
0666220
—
OH
01
—
130023887
MCR RR
—
01
—
363685
WELLCARE MEDICAID
OH
01
—
741868
BUCKEYE MEDICAID
OH
01
—
P00369573
MEDICARE RAILROAD
OH
Enumeration date
07/24/2006
Last updated
12/08/2020
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