Provider Demographics
NPI:1083093546
Name:WALEED F NEMER MD INC
Entity Type:Organization
Organization Name:WALEED F NEMER MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TAX ID OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WALEED
Authorized Official - Middle Name:F
Authorized Official - Last Name:NEMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-773-4500
Mailing Address - Street 1:908 E WATERLOO RD STE 1A
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-3928
Mailing Address - Country:US
Mailing Address - Phone:330-773-4500
Mailing Address - Fax:
Practice Address - Street 1:908 E WATERLOO RD STE 1A
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-3928
Practice Address - Country:US
Practice Address - Phone:330-773-4500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-29
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35053122207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty