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NPI Code Detail

MEDICARE: MR. MOHAMMAD HASSAN SHOKOUH-AMIRI M.D.

MEDICARE: MR. MOHAMMAD HASSAN SHOKOUH-AMIRI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician35139201OH

General Provider Information

NPI Number : 1265659130
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MOHAMMAD HASSAN SHOKOUH-AMIRI M.D.
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 740-779-7658
Fax Number : 740-779-7323
Provider Business Practice Location Address
First Line : 272 HOSPITAL RD
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-9031
Country : US
Telephone Number : 740-779-7658
Fax Number : 740-779-7323
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2007
Last Update Date : 09/17/2025

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