Provider Demographics
NPI:1679157986
Name:AZIZA WAHBY DO
Entity type:Organization
Organization Name:AZIZA WAHBY DO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AZIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:WAHBY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:440-999-3035
Mailing Address - Street 1:7185 CHAGRIN RD
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-1101
Mailing Address - Country:US
Mailing Address - Phone:216-284-0942
Mailing Address - Fax:681-245-6061
Practice Address - Street 1:7185 CHAGRIN RD
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-1101
Practice Address - Country:US
Practice Address - Phone:216-284-0942
Practice Address - Fax:681-245-6061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-12
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty