Donald E Eghobamien M.d Inc. | |
2351 E 22nd St Suite 320 Cleveland OH 44115-3111 | |
(216) 861-6200 | |
(440) 235-8440 |
Full Name | Donald E Eghobamien M.d Inc. |
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Speciality | Internal Medicine |
Location | 2351 E 22nd St, Cleveland, Ohio |
Authorized Official Name and Position | Donald E Eghobamien (OWNER) |
Authorized Official Contact | 2168616200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Donald E Eghobamien M.d Inc. 4758 Ridge Rd #161 Cleveland OH 44144-3327 Ph: (440) 235-8484 | Donald E Eghobamien M.d Inc. 2351 E 22nd St Suite 320 Cleveland OH 44115-3111 Ph: (216) 861-6200 |
NPI Number | 1649446634 |
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Provider Enumeration Date | 04/30/2008 |
Last Update Date | 06/02/2008 |
Medicare PECOS PAC ID | 9032288014 |
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Medicare Enrollment ID | O20080516000189 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649446634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35079013 (Ohio) | Primary |
Provider Name | Donald E Eghobamien |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497740260 PECOS PAC ID: 3072408947 Enrollment ID: I20040219000060 |
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