Organization · NPI-2

Elite Medical Practice, LLC

Internal Medicine · Rocky River, OH

NPI number1730674037
StatusActive
Last updated in NPPESJun 28, 2018

Details

NPI
1730674037
Entity type
Organization (NPI-2)
Legal business name
Elite Medical Practice, LLC
Organization subpart
No
Enumeration date
Jun 28, 2018
Last updated
Jun 28, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine35.082908OHYes

Practice location

21851 Center Ridge Rd Ste 109
Rocky River, OH 44116-3901

Phone 440-331-5488 · Fax 440-331-3790

Mailing address

Po Box 771508
Lakewood, OH 44107-0060

Phone 440-331-5488 · Fax 440-331-3790

Authorized official

Emile Sabbagh
MD/Owner
4403315488

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