Provider Demographics
NPI:1790405637
Name:EL-ASSADI, RAMI SALEH
Entity Type:Individual
Prefix:
First Name:RAMI
Middle Name:SALEH
Last Name:EL-ASSADI
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 1:4607 SUNNY CREEK LN
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-7203
Mailing Address - Country:US
Mailing Address - Phone:734-308-0897
Mailing Address - Fax:
Practice Address - Street 1:5890 MONROE ST
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2200
Practice Address - Country:US
Practice Address - Phone:419-882-5860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03442404183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist