Mirhaidari Family Practice | |
152 N Broadway St Ste 100 New Philadelphia OH 44663-2665 | |
(330) 364-8884 | |
Not Available |
Full Name | Mirhaidari Family Practice |
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Speciality | Family Medicine |
Location | 152 N Broadway St Ste 100, New Philadelphia, Ohio |
Authorized Official Name and Position | Shady Taggart (BILLING) |
Authorized Official Contact | 3303648884 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mirhaidari Family Practice 152 N Broadway St Ste 100 New Philadelphia OH 44663-2665 Ph: (330) 364-8884 | Mirhaidari Family Practice 152 N Broadway St Ste 100 New Philadelphia OH 44663-2665 Ph: (330) 364-8884 |
NPI Number | 1154859924 |
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Provider Enumeration Date | 05/24/2017 |
Last Update Date | 05/24/2017 |
Identifier | Type | State | Issuer |
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1154859924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34-008184 (Ohio) | Primary |
363L00000X | Nurse Practitioner | APRNCNP15213 (Ohio) | Secondary |
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