Issa, Mazen

Issa, Mazen is an individual health care provider with primary practice located at 18780 Bagley Rd Ste 200 , Cleveland OH 44130-3304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Issa, Mazen can be contacted via phone (440) 816-4546.

Contact Information

Primary practice address
18780 Bagley Rd Ste 200 Cleveland OH 44130-3304
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35-079269 Ohio

Profile Details

NPI number 1598755464
LBN Legal business name Issa, Mazen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Jan 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598755464 NPPES
Ohio MEDICAID 2309826

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