Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 35.127080 | OH |
Y | 111NI0900X | Internist | 35.127080 | OH |
NPI | 1003257999 |
---|---|
Provider Name | Mohamed Elrifai |
First Address | Cleveland, OH 44115 |
Second Address | Cleveland, OH 44115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2013 |
Last Update Date | 30/11/2017 |