Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35.135086 | OH |
N | 111NI0900X | Internist | 35.135086 | OH |
Y | 207RH0002X | Hospice and Palliative Medicine | 35.135086 | OH |
NPI | 1316301302 |
---|---|
Provider Name | Ahed Makhoul |
First Address | Cleveland, OH 44195-0001 |
Second Address | Cleveland, OH 44195-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2016 |
Last Update Date | 10/06/2020 |