NPI Code Details Logo

NPI 1780478602

NPI 1780478602 : NOJAN NAGHIBZADEH BAJESTANI MD : YOUNGSTOWN, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1780478602
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    NOJAN NAGHIBZADEH BAJESTANI MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/07/2025
-----------------------------------------------------
    Last Update Date     |    06/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1044 BELMONT AVE 
-----------------------------------------------------
    City                 |    YOUNGSTOWN
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    44504-1006
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    330-480-3752
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4171 CLAIRMONT RD 
-----------------------------------------------------
    City                 |    COLUMBUS
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    43220-4501
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    614-586-2386
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    57.259410
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.