Provider Demographics
NPI:1386961506
Name:ELBARAMAWI, WAEL (BSC)
Entity type:Individual
Prefix:
First Name:WAEL
Middle Name:
Last Name:ELBARAMAWI
Suffix:
Gender:M
Credentials:BSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20775 WAKEFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44149-6777
Mailing Address - Country:US
Mailing Address - Phone:216-466-1967
Mailing Address - Fax:
Practice Address - Street 1:11702 LORAIN AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-5442
Practice Address - Country:US
Practice Address - Phone:216-671-1411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-27
Last Update Date:2013-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03127647183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist