Individual
AHMAD KILANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20455 LORAIN RD, SUITE 104, FAIRVIEW PARK, OH 44126-3494
(440) 356-2715
(440) 356-6978
Mailing address
20525 CENTER RIDGE ROAD, SUITE 220, ROCKY RIVER, OH 44116
(440) 895-5056
(440) 333-2935
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35074763K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000286558
ANTHEM
—
01
—
0119204
GROUP MEDICAID
—
01
—
103379
KAISER
—
01
—
10794077
CAQH
—
01
—
1782634279
GROUP NPI
—
05
—
2173071
—
OH
01
—
341783789030
CARESOURCE
—
01
—
3610861
GROUP ASC MEDICARE
—
01
—
7682177
AETNA
—
01
—
9273172
GROUP MEDICARE
—
01
—
CA4511
RR MEDICARE GROUP
—
01
—
D368301
GROUP IND DIAGNOSTICS MED
—
01
—
F74763
SUMMACARE APEX
—
01
—
P00022220
RR MEDICARE INDIVIDUAL
—
Enumeration date
03/03/2006
Last updated
06/24/2011
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