| Fatuma Midamba Md Inc. | |
|
3619 Park East Dr 205 S Beachwood OH 44122-4330 | |
| (216) 591-0942 | |
| (440) 834-1902 |
| Full Name | Fatuma Midamba Md Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3619 Park East Dr, Beachwood, Ohio |
| Authorized Official Name and Position | Fatuma Midamba (OWNER) |
| Authorized Official Contact | 4408341833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fatuma Midamba Md Inc. Po Box 24160 Lyndhurst OH 44124-0160 Ph: (216) 233-2527 | Fatuma Midamba Md Inc. 3619 Park East Dr 205 S Beachwood OH 44122-4330 Ph: (216) 591-0942 |
| NPI Number | 1003849597 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 09/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003849597 | NPI | - | NPPES |
| 9361741 | Other | OH | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35073702M (Ohio) | Primary |
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