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Contact Information

MOSTAFA MIRHAIDARI, DO
3515 MASSILLON RD STE 250
UNIONTOWN, OH44685
 Phone: 330-896-5651
 Fax: 330-896-5685
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MOSTAFA MIRHAIDARI · (Male)

NPI # 1003826819
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/08/2006
Last updated 08/01/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 34-00-8184 M
  • OH Medicaid 2544830
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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