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Contact Information

BADR K. GHUMRAWI, M.D. INC.
6693 N CHESTNUT ST
SUITE 268A
RAVENNA, OH44266-3922
 Phone: 330-296-2829
 Fax: 330-296-7202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for BADR K. GHUMRAWI, M.D. INC.

NPI # 1639356116
LBN Legal business name BADR K. GHUMRAWI, M.D. INC.
Authorized official BADR GHUMRAWI - (PRESIDENT, OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/27/2008
Last updated 09/09/2011 - About 15 years ago
Identifiers
OH License # 35036836
OH Medicaid 0231538
Other 4132029 AETNA
Other 000000129043 ANTHEM
Other 100430 KAISER
Other 27174 NATIONWIDE
Other 71479 QUALCHOICE
Other 099507636 WORKERS COMPENSATION
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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