Provider Demographics
NPI:1144309824
Name:HACHWI, RAMI NAZEM (MD)
Entity type:Individual
Prefix:
First Name:RAMI
Middle Name:NAZEM
Last Name:HACHWI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24500 CENTER RIDGE RD STE 375
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5631
Mailing Address - Country:US
Mailing Address - Phone:440-895-5051
Mailing Address - Fax:440-895-5050
Practice Address - Street 1:25200 CENTER RIDGE RD STE 2000
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-4154
Practice Address - Country:US
Practice Address - Phone:216-472-1404
Practice Address - Fax:440-331-3373
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH84277174400000X
OH527612084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2475450Medicaid
OHIO8704Medicare UPIN
OH9380451Medicare UPIN