| Infectious Disease Specialties Inc | |
|
7255 Old Oak Blvd Bldg C Ste 302 Cleveland OH 44130-3329 | |
| (216) 402-8713 | |
| (440) 816-6755 |
| Full Name | Infectious Disease Specialties Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7255 Old Oak Blvd Bldg C Ste 302, Cleveland, Ohio |
| Authorized Official Name and Position | Belai Damtew (PRESIDENT) |
| Authorized Official Contact | 2164028713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Specialties Inc 30701 Lorain Rd Ste A North Olmsted OH 44070-6325 Ph: (440) 274-5035 | Infectious Disease Specialties Inc 7255 Old Oak Blvd Bldg C Ste 302 Cleveland OH 44130-3329 Ph: (216) 402-8713 |
| NPI Number | 1861174393 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 03/27/2024 |
| Medicare PECOS PAC ID | 0749643278 |
|---|---|
| Medicare Enrollment ID | O20230830003063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861174393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Belai Damtew |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831252956 PECOS PAC ID: 2062515745 Enrollment ID: I20070319000194 |
| Provider Name | Marisa C Terrigno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205020062 PECOS PAC ID: 7719057652 Enrollment ID: I20080603000740 |
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