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BADR K. GHUMRAWI M.D. INC. NPI 1639356116


NPI Information

NPI: 1639356116
Provider Name: BADR K. GHUMRAWI, M.D. INC.
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
6693 N CHESTNUT ST
SUITE 268A
RAVENNA, OH
ZIP 44266
Phone: (330) 296-2829
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BADR K. GHUMRAWI, M.D. INC. is a thoracic surgery cardiothoracic vascular surgery in Ravenna, OH. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. BADR K. GHUMRAWI, M.D. INC. NPI is 1639356116. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6693 N CHESTNUT ST
SUITE 268A
RAVENNA, OH
ZIP 44266-922
Phone: (330) 296-2829
Fax: (330) 296-7202

The provider's authorized official is Badr K Ghumrawi .
The authorized official title is President, Owner and has the following contact phone number (330) 296-2829.

The enumeration date for this NPI number is 1/27/2008 and was last updated on 9/9/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery35036836OHIONo
22086S0129XSurgeryVascular Surgery35036836OHIONo
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)35036836OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14132029OTHERAETNA
2BA924497MEDICARE PIN
327174OTHERNATIONWIDE
471479OTHERQUALCHOICE
5100430OTHERKAISER
6099507636OTHERWORKERS COMPENSATION
7A76208MEDICARE UPIN
8000000129043OTHERANTHEM
9GH0435884MEDICARE PIN
100231538MEDICAIDOHIO

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: 4/28/2024

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