Rostom, Mourad L
Rostom, Mourad L is an individual health care provider with primary practice located at 310 Windsor Dr , Cortland OH 44410-2705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Rostom, Mourad L can be contacted via phone (330) 675-4450.Contact Information
Primary practice address
310 Windsor Dr
Cortland OH 44410-2705
Phone: (330) 675-4450
Fax: (330) 675-4451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35061163 | Ohio |
Profile Details
| NPI number | 1427088715 |
|---|---|
| LBN Legal business name | Rostom, Mourad L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Sep 15th, 2023 - about 3 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 | 1427088715 | NPPES |
| Ohio | Other | 400887 | UNITED HEALTHCARE |
| Ohio | MEDICAID | 0855552 | UNITED HEALTHCARE |
| Ohio | Other | 78911 | UNITED HEALTHCARE |
| Ohio | Other | Q025272 | UNITED HEALTHCARE |
| Ohio | Other | 000000243198 | UNITED HEALTHCARE |
| Ohio | Other | J61163 | UNITED HEALTHCARE |
| Ohio | Other | 110247872 | UNITED HEALTHCARE |
| Ohio | Other | 000720761 | UNITED HEALTHCARE |
| Ohio | Other | 341341025028 | UNITED HEALTHCARE |
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