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AVICENNA MEDICAL GROUP NPI 1073940078


NPI Information

NPI: 1073940078
Provider Name: AVICENNA MEDICAL GROUP
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
16453 PEARL RD
STRONGSVILLE, OH
ZIP 44136
Phone: (440) 334-7173
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AVICENNA MEDICAL GROUP is an urgent care clinic center in Strongsville, OH. AVICENNA MEDICAL GROUP NPI is 1073940078. The provider is registered as an organization entity type.

The provider's business location address is:

16453 PEARL RD
STRONGSVILLE, OH
ZIP 44136-041
Phone: (440) 334-7173

The provider's authorized official is Abdallah Y Ali .
The authorized official title is President and has the following contact phone number (440) 334-7173.

The enumeration date for this NPI number is 10/4/2013 and was last updated on 10/4/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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