Provider Demographics
NPI:1962491613
Name:SWEDEH, MOHAMED A (MD)
Entity type:Individual
Prefix:
First Name:MOHAMED
Middle Name:A
Last Name:SWEDEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:280 BENEDICT AVE STE A
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-2374
Mailing Address - Country:US
Mailing Address - Phone:419-668-8110
Mailing Address - Fax:419-660-6996
Practice Address - Street 1:6707 POWERS BLVD STE 106
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5463
Practice Address - Country:US
Practice Address - Phone:440-886-2509
Practice Address - Fax:440-886-2547
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2025-10-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35-084716207RP1001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2580069Medicaid