Organization
PROACTIVE CARDIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOUHAMAD SAMER KABBANI MD (OWNER)
(440) 994-4081
Entity
Organization
Contact information
Practice address
2614 HUBBARD RD, MADISON, OH 44057-2530
(440) 994-4081
(440) 209-7789
Mailing address
38165 HIGHGATE BLUFF LN, WILLOUGHBY, OH 44094-7735
(440) 994-4081
(440) 209-7789
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35090479
OH
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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