Provider Demographics
NPI:1811297955
Name:NEMEH, ISSAM (MD)
Entity type:Individual
Prefix:
First Name:ISSAM
Middle Name:
Last Name:NEMEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:21360 CENTER RIDGE RD STE 401
Mailing Address - Street 2:
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-3252
Mailing Address - Country:US
Mailing Address - Phone:440-331-4700
Mailing Address - Fax:440-331-4757
Practice Address - Street 1:21360 CENTER RIDGE RD STE 401
Practice Address - Street 2:
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-3252
Practice Address - Country:US
Practice Address - Phone:440-331-4700
Practice Address - Fax:440-331-4757
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.058787171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist