Individual
DR. FUAD KAMEL MUAKKASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29111 CEDAR RD, MAYFIELD HEIGHTS, OH 44124-4005
(404) 430-4234
(440) 443-0414
Mailing address
29111 CEDAR RD, MAYFIELD HEIGHTS, OH 44124-4005
(404) 430-4234
(440) 443-0414
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
62133
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62133
MEDICAL LICENSE
AZ
Enumeration date
04/21/2013
Last updated
09/08/2023
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