Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Baljan Mametkulyyev, SURGICALASSISTANT

Individual provider Surgical Assistant · NPI 1568355717

Baljan Mametkulyyev, SURGICALASSISTANT is a Surgical Assistant in Solon, Ohio. Licensed in Maryland. Registered with an NPI since 2025.

Licensed in
MD
In the registry since
2025

Practice location Address checks out

34300 Park East Dr Apt B2
Solon, OH 44139-4253
Phone: (216) 894-9686
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 5560 (MD)

Record details

NPI number1568355717
Entity typeIndividual (Type 1)
GenderMale
Credentials SURGICALASSISTANT
Sole proprietorNo
NPI enumeratedMay 29, 2025
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025