Rasha Abi Radi Abou Jaoudeh, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Cleveland, OH

NPI 1629700232 · NPPES record last updated Jul 18, 2022

Key facts

NPI
1629700232
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
Cleveland Clinic 9500 Euclid Avenue/NA-23
Cleveland, OH 44195-0001
Phone
(216) 444-2200
NPI assigned
Jun 30, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in OH, GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220801000740 OH Order and Referring Only - Pediatric Medicine
Practitioner - Pediatric Medicine
2567844087
I20250822001498 GA Order and Referring Only - Pediatric Medicine
Practitioner - Pediatric Medicine
2567844087

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

Cleveland Clinic 9500 Euclid Avenue/NA-23
Cleveland, OH 44195-0001

Mailing address

Cleveland Clinic 9500 Euclid Avenue/NA-23
Cleveland, OH 44195-0001
Phone (216) 444-2200

Other providers in Cleveland, OH

All providers in Cleveland, OH · Student in an Organized Health Care Education/Training Program in Ohio

Sources for this page

Verify at the official NPI Registry.