| Kourosh Saghafi Do Inc | |
|
6681 Ridge Road Suite 300 Parma OH 44129-5713 | |
| (440) 842-1295 | |
| (216) 351-3619 |
| Full Name | Kourosh Saghafi Do Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6681 Ridge Road, Parma, Ohio |
| Authorized Official Name and Position | James Saghafi (OFFICE MANAGER) |
| Authorized Official Contact | 2167020360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kourosh Saghafi Do Inc 6681 Ridge Road Suite 300 Parma OH 44129-5713 Ph: (216) 702-0360 | Kourosh Saghafi Do Inc 6681 Ridge Road Suite 300 Parma OH 44129-5713 Ph: (440) 842-1295 |
| NPI Number | 1750596102 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 04/30/2008 |
| Medicare PECOS PAC ID | 7618947490 |
|---|---|
| Medicare Enrollment ID | O20090819000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750596102 | NPI | - | NPPES |
| 2785893 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 34006341 (Ohio) | Primary |
| Provider Name | Kourosh Saghafi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659358950 PECOS PAC ID: 1254325756 Enrollment ID: I20040802001521 |
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