Individual
DR. RAED AZZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4125 MEDINA RD STE 201, AKRON, OH 44333-4514
(216) 445-0601
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35-098629
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103704
—
OH
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
09/24/2008
Last updated
11/13/2019
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