Individual provider · NPI-1

Phillip James Ajlouny, DO

Family Medicine · Mentor, OH

NPI number1972946903

StatusActive

Last updated in NPPESFeb 4, 2021

Details

NPI: 1972946903
Entity type: Individual (NPI-1)
Name: Phillip James Ajlouny
Credential: DO
Sex: Male
Sole proprietor: Yes
Enumeration date: Apr 9, 2013
Certification date: Feb 4, 2021
Last updated: Feb 4, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	34.011999	OH	Yes
246YC3302X	Spec/Tech, Health Info, Coding Specialist, Physician Office Based	34.011999	OH

Practice location

7232 Justin Way
Mentor, OH 44060-4881

Phone 440-578-8200

Mailing address

7232 Justin Way
Mentor, OH 44060-4881

Phone 440-578-8200

Other practice locations

21100 Southgate Park Blvd
Maple Heights, OH 44137-3004

Phone 216-663-6100

38882 Mentor Ave
Willoughby, OH 44094

Phone 440-953-9999 · Fax 440-269-2532

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