Individual
MAHER S KODSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
630 E RIVER ST, ELYRIA, OH 44035-9915
(440) 329-7536
(440) 323-7900
Mailing address
860 E BROAD ST, SUITE I, ELYRIA, OH 44035-6542
(440) 323-8458
(440) 323-7900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35072847
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
35072847
OH
208VP0014X
Interventional Pain Medicine Physician
35072847
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2160674
—
OH
Enumeration date
11/16/2005
Last updated
09/28/2010
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