| Comprehensive Primary Care | |
|
1730 W 25th St Suite 1200 Cleveland OH 44113-3108 | |
| (216) 363-2307 | |
| Not Available |
| Full Name | Comprehensive Primary Care |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 01/06/2017 |
| Last Update Date | 01/06/2017 |
| Medicare PECOS PAC ID | 2860769478 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104892801 PECOS PAC ID: 0042299141 Enrollment ID: I20040714000150 |
| Provider Name | Marina S Marcu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609866706 PECOS PAC ID: 1153337936 Enrollment ID: I20060414000014 |
| Provider Name | Traci L Veach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548325913 PECOS PAC ID: 2062510233 Enrollment ID: I20070612000366 |
| Provider Name | Jennifer T Haines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669857397 PECOS PAC ID: 3476860313 Enrollment ID: I20150909003338 |
| Provider Name | Summer Afaneh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043782923 PECOS PAC ID: 2466785365 Enrollment ID: I20190607002079 |
| Provider Name | Melissa Acevedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346704558 PECOS PAC ID: 8820366321 Enrollment ID: I20190607002098 |
| Provider Name | Monica Lee Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205682143 PECOS PAC ID: 9234675570 Enrollment ID: I20240723004042 |
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