Individual provider · NPI-1

Hossam Mostafa Abdelaziz Elshafei, QMHS MA CMS MA

Community Health Worker · Cleveland, OH

NPI number1619463528

StatusActive

Last updated in NPPESApr 9, 2020

Details

NPI: 1619463528
Entity type: Individual (NPI-1)
Name: Hossam Mostafa Abdelaziz Elshafei
Credential: QMHS MA CMS MA
Sex: Male
Sole proprietor: Yes
Enumeration date: Jul 3, 2018
Certification date: Apr 9, 2020
Last updated: Apr 9, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
172V00000X	Community Health Worker	–	OH	Yes
171M00000X	Case Manager/Care Coordinator	–	OH

Practice location

3500 Carnegie Ave
Cleveland, OH 44115

Phone 440-260-8300

Mailing address

434 Eastland Rd
Berea, OH 44017-1217

Phone 440-234-2006

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