Provider Demographics
NPI:1477125284
Name:METWALI, RASHA RADWAN BORAEI (RPH)
Entity type:Individual
Prefix:DR
First Name:RASHA
Middle Name:RADWAN BORAEI
Last Name:METWALI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14225 PARKMAN BLVD
Mailing Address - Street 2:
Mailing Address - City:BROOKPARK
Mailing Address - State:OH
Mailing Address - Zip Code:44142-2527
Mailing Address - Country:US
Mailing Address - Phone:216-471-7508
Mailing Address - Fax:
Practice Address - Street 1:2160 LEE RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-2908
Practice Address - Country:US
Practice Address - Phone:216-932-4808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03440527183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHNONEOtherI DO NOT HAVE