Provider Demographics
NPI:1477056471
Name:DR. STEPHANIE M OUHADI, LLC
Entity Type:Organization
Organization Name:DR. STEPHANIE M OUHADI, LLC
Other - Org Name:RIGHT FOOT PODIATRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:OUHADI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:440-782-1268
Mailing Address - Street 1:4560 OBERLIN AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-3195
Mailing Address - Country:US
Mailing Address - Phone:440-282-7387
Mailing Address - Fax:440-282-7388
Practice Address - Street 1:4560 OBERLIN AVE STE 1
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-3195
Practice Address - Country:US
Practice Address - Phone:440-282-7387
Practice Address - Fax:440-282-7388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-15
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36.003598213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty