Provider Demographics
NPI:1184211328
Name:ALSADI, AHMED G
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:G
Last Name:ALSADI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13255 SPRUCE RUN DR APT 310
Mailing Address - Street 2:
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133-4290
Mailing Address - Country:US
Mailing Address - Phone:216-644-4441
Mailing Address - Fax:
Practice Address - Street 1:2901 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-2424
Practice Address - Country:US
Practice Address - Phone:216-644-4441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-22
Last Update Date:2021-03-19
Deactivation Date:2020-12-22
Deactivation Code:
Reactivation Date:2021-03-19
Provider Licenses
StateLicense IDTaxonomies
OHSP792331343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)