| Mohammed M Tamim, MD | |
|
659 Boulevard St, Dover, OH 44622-2026 | |
| (440) 242-1001 | |
| Not Available |
| Full Name | Mohammed M Tamim |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 659 Boulevard St, Dover, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669401592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 1340 (Virgin Island) | Secondary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 35.087070 (Ohio) | Primary |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammed M Tamim, MD 2860 Waterfall Way, Westlake, OH 44145-6847 Ph: (440) 554-1431 | Mohammed M Tamim, MD 659 Boulevard St, Dover, OH 44622-2026 Ph: (440) 242-1001 |
Andrea R Penepacker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 204 S Bellevue Ave, Dover, OH 44622 Phone: 330-343-3321 Fax: 330-602-8712 | |
Dr. Andrew Dwight Newburn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 340 Oxford St Ste 310, Dover, OH 44622 Phone: 330-364-8011 Fax: 330-364-0058 |