Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 35060550J | OH |
NPI | 1003869157 |
---|---|
Provider Name | Sharhabeel Jwayyed |
First Address | Akron, OH 44309-1649 |
Second Address | Akron, OH 44304-1619 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 10/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000138505 | ANTHEM (01) | OH |
0823078 | (05) | OH |
340714755AE | SUMMACARE (01) | OH |
341779226002 | MEDICAL MUTUAL OH 1 OF 3 (01) | OH |
341779226003 | MED MUT OH 2 OF 3 (01) | OH |
341779226006 | MED MUT OH 3 OF 3 (01) | OH |
61641 | UNITED HEALTHCARE (01) | OH |
930023437 | RR MEDICARE (01) | OH |
E84756 | (02) | OH |