Individual ProviderMohanad BaroudiStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address9500 Euclid Ave # Jj45, Cleveland, OH 44195-0001(216) 444-2200PECOS EnrollmentBased on the most recent information from CMS, provider Mohanad Baroudi 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 4 days ago.Profile DetailsProvider ID1003593641Provider TypeIndividualFull NameBaroudi, MohanadGenderMaleSole ProprietorYesEnumeration Date7/4/2023Last Updated7/4/2023Contact InformationPractice LocationPractice Address9500 Euclid Ave # Jj45, Cleveland, OH 44195-0001Phone(216) 444-2200FaxUnlisted FaxMailing LocationMailing Address9500 Euclid Ave # Jj45, Cleveland, OH 44195-0001Phone(216) 444-2200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer