Kholoud K Wishah

MD | Pediatric Allergy-Immunology | Female

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Complete Profile:

Kholoud K Wishah basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Allergy/Immunology
Provider Name :	Kholoud K Wishah
Credential :	MD
Gender :	Female
Sole Proprietor :	Yes

Business Address:

Kholoud K Wishah address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	29160 Center Ridge Rd, Suite A Westlake, OH, 44145-5225 United States
Phone Number :	440-835-1899
Fax Number :	440-835-1855

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1649299793
NPI Entity Type :	Individual
First Enrolment Date :	19 Jul, 2006
Last Updated On :	21 Nov, 2013

Medicare Participation:

Kholoud K Wishah participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2264417583
Medicare Enrollment ID :	I20040621002018
Primary Specialty :	Allergy/immunology
Medical School :	Other
Graduation Year :	1991
Accepts Medicare?	Yes. Kholoud K Wishah accepts medicare insurance.

Group Practice Association:

Kholoud K Wishah is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Kholoud K Wishah is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
The Metrohealth System	8628982949	965	2500 Metrohealth Dr Cleveland, OH - 441091900 Ph: 2167787800	Yes
The Metrohealth System	8628982949	965	9200 Treeworth Blvd Brecksville, OH - 441412591 Ph: 2169579000	Yes
The Metrohealth System	8628982949	965	38 Main St Suite 300 Westlake, OH - 441455922 Ph: 2169573200	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kholoud K Wishah are as mentioned. Primary taxonomy code for Kholoud K Wishah, MD is 2080P0201X (Pediatrics Pediatric Allergy/Immunology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0201X	Pediatrics Pediatric Allergy/Immunology	Yes	35-076434	OH

Legacy Identifiers:

Other legacy medical identifiers of Kholoud K Wishah such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
2468664	MEDICAID	OH
000000319445	Other	OH	ANTHEM

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	29160 Center Ridge Rd, Suite A Westlake, OH, 44145-5225 United States
Phone Number :	440-835-1899
Fax Number :	440-835-1855

Business Location:

Patients can refer following map for directions to Kholoud K Wishah practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.