Individual
ADONIS KHEZAEE HIJAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-5661
(216) 844-1900
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
003255
NY
208800000X
Urology Physician
Primary
35-086418
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000207093
UNISON
OH
01
—
000000382823
ANTHEM
OH
01
—
000000516258
ANTHEM
OH
05
—
2612319
—
OH
01
—
363637
WELLCARE
OH
01
—
7250789
AETNA
OH
01
—
741847
BUCKEYE
OH
01
—
P00412333
MEDICARE RAILROAD
OH
Enumeration date
07/10/2006
Last updated
01/15/2021
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