| Aleppo Llc | |
|
25757 Lorain Rd North Olmsted OH 44070-3370 | |
| (440) 590-6800 | |
| (440) 484-3255 |
| Full Name | Aleppo Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 25757 Lorain Rd, North Olmsted, Ohio |
| Authorized Official Name and Position | Abdallah Al-shahed (OWNER) |
| Authorized Official Contact | 4405300925 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aleppo Llc 7580 Northcliff Ave Suite 660 Brooklyn OH 44144-3270 Ph: () - | Aleppo Llc 25757 Lorain Rd North Olmsted OH 44070-3370 Ph: (440) 590-6800 |
| NPI Number | 1295077485 |
|---|---|
| Provider Enumeration Date | 03/26/2013 |
| Last Update Date | 11/03/2023 |
| Medicare PECOS PAC ID | 8426291600 |
|---|---|
| Medicare Enrollment ID | O20130909000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295077485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35.085379 (Ohio) | Primary |
| Provider Name | Abdallah Al-shahed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639159528 PECOS PAC ID: 9234160722 Enrollment ID: I20050824000780 |
| Provider Name | Erin Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932622123 PECOS PAC ID: 1759646276 Enrollment ID: I20180601002434 |
| Provider Name | Erika Nicole Caine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992286603 PECOS PAC ID: 4385983337 Enrollment ID: I20190308001351 |
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