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

Nizar Dergham

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356043236

Nizar Dergham is a Student in an Organized Health Care Education/Training Program in Chardon, Ohio. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

13207 Ravenna Rd
Chardon, OH 44024-7032
Phone: (440) 570-0956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1356043236
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESMarch 21, 2023
Certification dateMarch 21, 2023
Mailing address13207 Ravenna Rd, Chardon, OH 44024-7032

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