Provider Demographics
NPI:1851378822
Name:MASRI, RAMIZ (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMIZ
Middle Name:
Last Name:MASRI
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 1:125 E BROAD ST
Mailing Address - Street 2:SUITE 218
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-6400
Mailing Address - Country:US
Mailing Address - Phone:440-329-7310
Mailing Address - Fax:440-329-7749
Practice Address - Street 1:125 E BROAD ST
Practice Address - Street 2:SUITE 218
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-6400
Practice Address - Country:US
Practice Address - Phone:440-329-7310
Practice Address - Fax:440-329-7749
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-038546207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0319711Medicaid
OH0319711Medicaid
0426064Medicare PIN