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NPI Code Detail

MEDICARE: DR. MOHAMMAD ALI VARGHAI M.D.

MEDICARE: DR. MOHAMMAD ALI VARGHAI 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
1207RH0003XHematology & Oncology Physician35-053339OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000390417OTHEROHANTHEM
2002081415OTHEROHHIGHMARK
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124027776
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMMAD ALI VARGHAI M.D.
Provider Business Mailing Address
First Line : 2420 LAKE AVE
Second Line :
City : ASHTABULA
State : OH
Zip : 44004-4954
Country : US
Telephone Number : 440-994-7600
Fax Number : 440-994-7603
Provider Business Practice Location Address
First Line : 2420 LAKE AVE
Second Line :
City : ASHTABULA
State : OH
Zip : 44004-4954
Country : US
Telephone Number : 440-994-7600
Fax Number : 440-994-7603
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2005
Last Update Date : 05/27/2011

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