Moustafa Moussally
Moustafa Moussally is a Colorectal Surgery (Proctology) in Cleveland, Ohio. Qualified in 2019, 7 years ago. Licensed in Ohio.
- Years since qualifying
- 7
- Licensed in
- OH
- In the registry since
- 2020
Practice location Address checks out
9500 Euclid AveCleveland, OH 44195-0001
Phone: (216) 444-2200
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Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 57.249624 (OH) |
|---|
Record details
| NPI number | 1104434620 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 21, 2020 |
| Last updated in NPPES | July 21, 2020 |
| Certification date | July 21, 2020 |
| Mailing address | 2495 Interlachen Ln, Westlake, OH 44145-4381 |
Medicare enrollment
| Medicare specialty | COLORECTAL SURGERY (PROCTOLOGY) |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Accepts Medicare assignment | Not indicated |
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Aida L Mandapat, MD
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Daniel Perling, DO
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Edweana M Robinson, MD
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