Midamba, Fatuma
Midamba, Fatuma is an sole proprietor health care provider with primary practice located at 3619 Park East Dr 205 S., Beachwood OH 44122-4330. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Midamba, Fatuma can be contacted via phone (216) 591-0942.Contact Information
Primary practice address
3619 Park East Dr 205 S.
Beachwood OH 44122-4330
Phone: (216) 591-0942
Fax: (440) 591-0943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | BM5763986 | Ohio |
Profile Details
| NPI number | 1982674602 |
|---|---|
| LBN Legal business name | Midamba, Fatuma |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Mar 17th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982674602 | NPPES |
| Ohio | Other | 0860278 | MEDICARE |
| Ohio | MEDICAID | 2073572 | MEDICARE |
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