Individual
ALI JAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3700 KOLBE RD, LORAIN, OH 44053-1611
(440) 989-3801
(440) 960-0264
Mailing address
1957 COOPER FOSTER PARK RD, AMHERST, OH 44001-1207
(440) 989-3801
(440) 960-0264
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35073169J
OH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
35.073169
OH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
35073169
OH
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
35073169
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2184872
—
OH
05
—
3025372
—
OH
Enumeration date
04/11/2006
Last updated
09/26/2019
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