Individual ProviderRadwan AlkhatibStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address9500 Euclid Avenue/Jj24, Cleveland, OH 44195(216) 444-2200PECOS EnrollmentBased on the most recent information from CMS, provider Radwan Alkhatib is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:13 AM.Profile DetailsProvider ID1689419947Provider TypeIndividualFull NameAlkhatib, RadwanGenderMaleSole ProprietorYesEnumeration Date6/28/2024Last Updated6/28/2024Contact InformationPractice LocationPractice Address9500 Euclid Avenue/Jj24, Cleveland, OH 44195Phone(216) 444-2200FaxUnlisted FaxMailing LocationMailing Address9500 Euclid Avenue/Jj24, Cleveland, OH 44195Phone(216) 444-2200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense57.256387Ohio