| Organization Name: | AMJAD RASS, INC |
| NPI Number: | 1063430932 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMJAD RASS (OWNER/PROVIDER) |
| Mailing Address: | 61353 Southgate Rd Cambridge |
| State: | OH US |
| Postal Code: | 437256607 |
| Phone Number: | 7404358585 |
| Fax Number: | 7404543790 |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |