Provider Demographics
NPI:1891361358
Name:ABUSHAWER, OSAMA (MD, MS)
Entity type:Individual
Prefix:
First Name:OSAMA
Middle Name:
Last Name:ABUSHAWER
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 SEVERANCE CIR APT NO304
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-1523
Mailing Address - Country:US
Mailing Address - Phone:216-399-9876
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVE # G1
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:216-541-1741
Practice Address - Fax:216-541-1741
Is Sole Proprietor?:No
Enumeration Date:2021-06-03
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH57.250660207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine