M Bashar Mamlouk MD Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

M BASHAR MAMLOUK MD INC

Practice address

20455 Lorain Rd Ste 104B
Fairview Park, OH 44126-3529

Phone

(440) 356-2715

Fax

(440) 356-6978

NPI assigned

May 15, 2015

Organization subpart

No

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

Authorized official

Name

Mohamed Mamlouk, M.D.

Title

Owner/President

Phone

(440) 356-2715

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1689052227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30701 LORAIN RD STE A",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440706325",
            "telephone_number": "440-274-5000",
            "fax_number": "440-716-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20455 LORAIN RD STE 104B",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263529",
            "telephone_number": "440-356-2715",
            "fax_number": "440-356-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M BASHAR MAMLOUK MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "MAMLOUK",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "440-356-2715",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mohamed Bashar Mamlouk, MD

• Cardiovascular Disease Physician in Fairview Park, OH
• Providers in Fairview Park, 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 Jun 22, 2015; 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.