| Name | AHMED FAWZY, M.D. | 
|---|---|
| Street | 1170 E. BROAD STREET - #2 | 
| City | ELYRIA | 
| Zip | OH 44035 | 
| Status | Active | 
| Effective date | 2011-06-03T00:00:00+02:00 | 
| Company | NORTH COAST NEPHROLOGY, INC. | 
|---|---|
| Entity Number | 1085690 | 
| Company | NORTH COAST DIALYSIS, LLC | 
|---|---|
| Entity Number | 1395739 |