Provider Demographics
NPI:1982633103
Name:CLEVELAND HEARING & BALANCE CENTER INC
Entity Type:Organization
Organization Name:CLEVELAND HEARING & BALANCE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAMID
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:440-684-9970
Mailing Address - Street 1:24755 CHAGRIN BLVD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5682
Mailing Address - Country:US
Mailing Address - Phone:440-684-9970
Mailing Address - Fax:216-765-1050
Practice Address - Street 1:24755 CHAGRIN BLVD
Practice Address - Street 2:SUITE 310
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5682
Practice Address - Country:US
Practice Address - Phone:440-684-9970
Practice Address - Fax:216-765-1050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-069345207YX0901X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & NeurotologyGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0051204Medicaid
OH0211201Medicaid
OH0211201Medicaid
0792243Medicare PIN
OH0051204Medicaid