Provider Demographics
NPI:1023234069
Name:RAMI N. HACHWI, M.D., INC.
Entity type:Organization
Organization Name:RAMI N. HACHWI, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAMI
Authorized Official - Middle Name:N
Authorized Official - Last Name:HACHWI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-889-9088
Mailing Address - Street 1:PO BOX 451184
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-0630
Mailing Address - Country:US
Mailing Address - Phone:216-889-9088
Mailing Address - Fax:216-889-9205
Practice Address - Street 1:18099 LORAIN AVE STE 308
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-5611
Practice Address - Country:US
Practice Address - Phone:216-889-9088
Practice Address - Fax:216-889-9205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-084277174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2475450Medicaid
OH2879336Medicaid
OH2879336Medicaid
OH2879336Medicaid