Individual
AMANDA NIZAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-3201
(216) 444-2200
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-3201
(216) 444-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.135813
OH
207RX0202X
Medical Oncology Physician
Primary
35.135813
OH
Other
Enumeration date
04/04/2016
Last updated
07/01/2022
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