Basic Information
Provider Information
NPI: 1902225618
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHWEN
FirstName: ZEYAD
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 600 N WOLFE STREET TOWER 110
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212872109
CountryCode: US
TelephoneNumber: 4109555020
FaxNumber:  
Practice Location
Address1: 9500 EUCLID AVE # Q10
Address2:  
City: CLEVELAND
State: OH
PostalCode: 441950001
CountryCode: US
TelephoneNumber: 2164445600
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/09/2014
LastUpdateDate: 10/28/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/28/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208800000X35.139454OHY Allopathic & Osteopathic PhysiciansUrology 

No ID Information.


Home