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Individual

DR. ATEF A ELTOMEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18099 LORAIN AVE, SUITE 425, CLEVELAND, OH 44111-5610
(216) 252-6330
(216) 252-6819
Mailing address
18099 LORAIN AVE, SUITE 425, CLEVELAND, OH 44111-5610
(216) 252-6330
(216) 252-6819

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
050589
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000517252
ANTHEM BC/BS
OH
05
0557713
OH
01
341542312152
CARESOURCE
OH
01
350987
WELLCARE
OH
01
746799
BCHP
OH
01
P00437212
RAILROAD CARE
OH
01
P00705927
RAILROAD CARE
OH
Enumeration date
07/12/2006
Last updated
05/17/2010
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