Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 35.134677 | OH |
NPI | 1003224411 |
---|---|
Provider Name | Tarek Ashour |
First Address | Cleveland, OH 44195-0001 |
Second Address | Cleveland, OH 44195-4122 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2014 |
Last Update Date | 10/06/2019 |