Comprehensive Primary Care | |
1730 W 25th St Suite 1200 Cleveland OH 44113-3108 | |
(216) 363-2307 | |
Not Available |
Full Name | Comprehensive Primary Care |
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Speciality | Internal Medicine |
Location | 1730 W 25th St, Cleveland, Ohio |
Authorized Official Name and Position | Emad H Elbadawy (OWNER) |
Authorized Official Contact | 2163632207 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Comprehensive Primary Care 1730 West 25th Street Suite 1200 Cleveland OH 44113 Ph: (216) 363-2307 | Comprehensive Primary Care 1730 W 25th St Suite 1200 Cleveland OH 44113-3108 Ph: (216) 363-2307 |
NPI Number | 1053857607 |
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Provider Enumeration Date | 01/06/2017 |
Last Update Date | 01/06/2017 |
Medicare PECOS PAC ID | 2860769478 |
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Medicare Enrollment ID | O20170602001663 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053857607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Emad H Elbadawy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104892801 PECOS PAC ID: 0042299141 Enrollment ID: I20040714000150 |
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