Individual
DR. BASMA AL MANDIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
29099 HEALTH CAMPUS DR STE 130, WESTLAKE, OH 44145-5255
(440) 835-6163
(440) 871-9408
Mailing address
15805 PURITAS AVE, CLEVELAND, OH 44135-2611
(216) 267-5139
(216) 267-5133
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35089919
OH
207RP1001X
Pulmonary Disease Physician
Primary
35.089919
OH
207RS0012X
Sleep Medicine (Internal Medicine) Physician
35089919
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2954567
—
OH
Enumeration date
08/31/2007
Last updated
12/16/2024
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