Organization
OHIO INFECTIOUS DISEASE CONSULTANTS, P.C., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUDATHIRU A BUHARI M.D. (PRESIDENT)
(216) 225-5010
Entity
Organization
Contact information
Practice address
5270 CROFTON AVENUE, SOLON, OH 44139-1277
(216) 225-5010
(440) 498-0217
Mailing address
5270 CROFTON AVENUE, SOLON, OH 44139-1277
(216) 225-5010
(440) 498-0217
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35 083003
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770731549
NPI
—
05
—
2920978
—
OH
01
—
35 083003
OHIO MEDICAL LICENSE
OH
Enumeration date
09/04/2008
Last updated
08/03/2009
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