Provider Demographics
NPI:1710953377
Name:TSAY, JAWAD (MD)
Entity Type:Individual
Prefix:DR
First Name:JAWAD
Middle Name:
Last Name:TSAY
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 1:9500 EUCLID AVE # L-10
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-444-4871
Mailing Address - Fax:216-636-5030
Practice Address - Street 1:9500 EUCLID AVE # L-10
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-4871
Practice Address - Fax:216-636-5030
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2016-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0993592085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101298078Medicaid
PA101298078Medicaid
PAI32336Medicare UPIN