| Mostafa Mirhaidari, D.o. | |
|
707 N Wooster Ave Dover OH 44622-2866 | |
| (330) 364-8884 | |
| Not Available |
| Full Name | Mostafa Mirhaidari, D.o. |
|---|---|
| Speciality | Family Medicine |
| Location | 707 N Wooster Ave, Dover, Ohio |
| Authorized Official Name and Position | Mostafa Mirhaidari (OWNER) |
| Authorized Official Contact | 3303648884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mostafa Mirhaidari, D.o. 707 N Wooster Ave Dover OH 44622-2866 Ph: (330) 364-8884 | Mostafa Mirhaidari, D.o. 707 N Wooster Ave Dover OH 44622-2866 Ph: (330) 364-8884 |
| NPI Number | 1538349758 |
|---|---|
| Provider Enumeration Date | 11/05/2007 |
| Last Update Date | 02/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538349758 | NPI | - | NPPES |
| 2544830 | Medicaid | OH | |
| P00282579 | Other | OH | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34088184M (Ohio) | Primary |
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