Provider Demographics
NPI:1639195118
Name:MOHIDEEN, AMINA (MD)
Entity Type:Individual
Prefix:DR
First Name:AMINA
Middle Name:
Last Name:MOHIDEEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 TIMBERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BROADVIEW HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44147-3477
Mailing Address - Country:US
Mailing Address - Phone:440-582-2907
Mailing Address - Fax:
Practice Address - Street 1:DIV OF ANESTHESIOLOGY THE CLEVELAND CLINIC FOUNDATION
Practice Address - Street 2:9500 EUCLID AVENUE, E-30
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-4382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-083150207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH98900Medicare UPIN