NPI: 1144469388 · PAINESVILLE, OH 44077 · Medical Specialty Clinic/Center · NPI assigned 02/11/2009
| Authorized Official | BANNA, AHMAD (PRESIDENT) |
| NPI Enumeration Date | 02/11/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $197.11 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 93000 | 15 | 15 | $197.11 |