Organization
ELYRIA ANESTHESIA INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHER S KODSY M.D. (PRESIDENT)
(440) 323-8458
Entity
Organization
Contact information
Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 329-7536
Mailing address
860 E BROAD ST STE I, ELYRIA, OH 44035-6542
(440) 323-8458
(440) 323-7900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0333599
—
OH
Enumeration date
06/17/2006
Last updated
01/22/2021
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