1144309824 NPI number — RAMI NAZEM HACHWI MD

Table of content: RAMI NAZEM HACHWI MD (NPI 1144309824)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144309824 NPI number — RAMI NAZEM HACHWI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HACHWI
Provider First Name:
RAMI
Provider Middle Name:
NAZEM
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144309824
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/25/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
24500 CENTER RIDGE RD STE 375
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WESTLAKE
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44145-5631
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
440-895-5051
Provider Business Mailing Address Fax Number:
440-895-5050

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
25200 CENTER RIDGE RD STE 2000
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WESTLAKE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44145-4154
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-472-1404
Provider Business Practice Location Address Fax Number:
440-331-3373
Provider Enumeration Date:
11/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  84277 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084N0400X , with the licence number: 52761 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2475450 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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