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Contact Information

KHOLOUD K WISHAH, MD
29160 CENTER RIDGE RD
SUITE A
WESTLAKE, OH44145-5225
 Phone: 440-835-1899
 Fax: 440-835-1855
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Allergy/Immunology

2080P0201X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KHOLOUD K WISHAH · (Female)

NPI # 1649299793
Status Active
Credentials MD
Entity Individual
Enumeration date 07/19/2006
Last updated 11/21/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 35-076434
  • OH Medicaid 2468664
  • OH Other 000000319445 ANTHEM
Hospital affiliation(s)
  • METROHEALTH SYSTEM - (Acute Care)
    2500 METROHEALTH DRIVE
    CLEVELAND, OH 44109
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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