| Wissam Hoteit Md Llc | |
|
4841 Yosemite Pkwy Sylvania OH 43560-4341 | |
| (419) 885-0200 | |
| Not Available |
| Full Name | Wissam Hoteit Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4841 Yosemite Pkwy, Sylvania, Ohio |
| Authorized Official Name and Position | Wissam Hoteit (OWNER) |
| Authorized Official Contact | 4198850200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wissam Hoteit Md Llc Po Box 8440 Toledo OH 43623-0440 Ph: (419) 885-0200 | Wissam Hoteit Md Llc 4841 Yosemite Pkwy Sylvania OH 43560-4341 Ph: (419) 885-0200 |
| NPI Number | 1710456025 |
|---|---|
| Provider Enumeration Date | 11/15/2018 |
| Last Update Date | 11/15/2018 |
| Medicare PECOS PAC ID | 4587900667 |
|---|---|
| Medicare Enrollment ID | O20190110001036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710456025 | NPI | - | NPPES |
| 0070488 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Wissam K Hoteit |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265673990 PECOS PAC ID: 7012063480 Enrollment ID: I20090928000025 |
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