| Kholoud K Wishah, MD | |
|
29160 Center Ridge Rd, Suite A, Westlake, OH 44145-5225 | |
| (440) 835-1899 | |
| (440) 835-1855 |
| Full Name | Kholoud K Wishah |
|---|---|
| Gender | Female |
| Speciality | Allergy/immunology |
| Experience | 34 Years |
| Location | 29160 Center Ridge Rd, Westlake, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649299793 | NPI | - | NPPES |
| 000000319445 | Other | OH | ANTHEM |
| 2468664 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0201X | Pediatrics - Pediatric Allergy/immunology | 35-076434 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Metrohealth System | Cleveland, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Metrohealth System | 8628982949 | 1065 |
| Entity Name | The Metrohealth System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053353896 PECOS PAC ID: 8628982949 Enrollment ID: O20031119000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Kholoud K Wishah, MD 29160 Center Ridge Rd, Suite A, Westlake, OH 44145-5225 Ph: (440) 835-1899 | Kholoud K Wishah, MD 29160 Center Ridge Rd, Suite A, Westlake, OH 44145-5225 Ph: (440) 835-1899 |
Stephanie Fabry, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 805 Columbia Rd Ste 102, Westlake, OH 44145 Phone: 440-808-1925 | |
Amy Carruthers, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 960 Clague Rd Ste 185, Westlake, OH 44145 Phone: 216-383-0100 Fax: 216-383-6481 | |
Deborah M Ghazoul, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 805 Columbia Rd, Suite 102, Westlake, OH 44145 Phone: 440-808-1925 Fax: 440-808-1926 | |
Dr. Monica Garcia Hoban, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1547 Barclay Blvd, Westlake, OH 44145 Phone: 440-250-9393 | |
Dr. Brenda L Mcghee, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2001 Crocker Rd Ste 600, Westlake, OH 44145 Phone: 440-871-5100 Fax: 440-871-5610 | |
Cathleen A Coyne, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2001 Crocker Rd Ste 600, Westlake, OH 44145 Phone: 440-871-5100 Fax: 440-871-5610 | |
Michael A Adornetto, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 26908 Detroit Rd, Ste 200, Westlake, OH 44145 Phone: 440-250-8660 Fax: 440-250-8639 |