Hanna Wang & Ezziddin MDS Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

HANNA WANG & EZZIDDIN MDS INC

Practice address

6690 Beta Dr
Ste 100
Mayfield Village, OH 44143-2361

Phone

(440) 461-0038

Fax

(440) 461-8820

NPI assigned

Dec 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Abdalla Ezziddin

Title

President

Phone

(440) 461-0038

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1164590873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6690 BETA DR",
            "address_2": "STE 100",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441432361",
            "telephone_number": "440-461-0038",
            "fax_number": "440-461-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6690 BETA DR",
            "address_2": "STE 100",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441432361",
            "telephone_number": "440-461-0038",
            "fax_number": "440-461-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNA WANG & EZZIDDIN MDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "EZZIDDIN",
        "authorized_official_first_name": "ABDALLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-461-0038"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Mayfield Village, OH
• Providers in Mayfield Village, OH by specialty
• Cardiovascular Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.