DR. MOHAMED BASHAR MAMLOUK MD NPI 1306805304

NPI Information

NPI: 1306805304
Provider Name: DR. MOHAMED BASHAR MAMLOUK, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
20455 LORAIN RD STE 104B
FAIRVIEW PARK, OH
ZIP 44126
Phone: (440) 356-2715
Get Directions

DR. Mohamed Bashar Mamlouk, MD is a cardiovascular disease internal medicine in Fairview Park, OH. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Mohamed Bashar Mamlouk, MD NPI is 1306805304. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20455 LORAIN RD STE 104B
FAIRVIEW PARK, OH
ZIP 44126-529
Phone: (440) 356-2715
Fax: (440) 356-6978

The NPI 1306805304 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2006 and was last updated on 2/13/2015.

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
1	207RC0000X	Internal Medicine	Cardiovascular Disease	35-038540	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	264168	OTHER	OHIO	FEDERAL BLACK LUNG
2	000000130207	OTHER	OHIO	ANTHEM
3	18958	OTHER	OHIO	QUALCHOICE
4	0366698	MEDICAID	OHIO
5	2597481	OTHER	OHIO	UNITED HEALTHCARE
6	0455541	MEDICARE PIN	OHIO
7	341313510BM	OTHER	OHIO	SUMMACARE
8	4007588	OTHER	OHIO	AETNA
9	A77891	MEDICARE UPIN	OHIO

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »