Provider Demographics
NPI:1528084852
Name:DOWLATI, AFSHIN (MD)
Entity type:Individual
Prefix:
First Name:AFSHIN
Middle Name:
Last Name:DOWLATI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24701 EUCLID AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1714
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-076391207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000224262OtherUNISON
OH2176952Medicaid
741818OtherBUCKEYE
2375349OtherAETNA
OH830006659OtherRAILROAD MEDICARE
000000539545OtherANTHEM
363488OtherWELLCARE
OH830006659OtherRAILROAD MEDICARE
363488OtherWELLCARE
OHP01050127Medicare PIN
OHDO4019241Medicare PIN