Active NPI
Raed Raydan Dakdouk, PA
- Emergency Medical Services (Emergency Medicine) Physician
- Elyria, OH
National Provider Identifier
1720985773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 50.010566RX
- Practice address
- 630 E River St
Elyria, OH 44035-5902 - Phone
- (216) 937-5405
- NPI assigned
- Oct 22, 2026
- Last updated
- Oct 22, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 50.010566RX | OH | Primary |
Addresses
Primary practice location
630 E River St
Elyria, OH 44035-5902
Mailing address
104 N Carpenter Rd
Brunswick, OH 44212-1318
Phone (216) 937-5405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792627200000",
"number": "1720985773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 N CARPENTER RD",
"city": "BRUNSWICK",
"state": "OH",
"postal_code": "442121318",
"telephone_number": "216-937-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 E RIVER ST",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440355902",
"telephone_number": "216-937-5405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAKDOUK",
"first_name": "RAED",
"middle_name": "RAYDAN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-10-22",
"last_updated": "2026-10-22",
"certification_date": "2026-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "OH",
"license": "50.010566RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.