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NPI Code Detail

MEDICARE: KOUROSH SAGHAFI

MEDICARE:   KOUROSH  SAGHAFI
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
1207RG0300XGeriatric Medicine (Internal Medicine) Physician34006341OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659358950
Entity Type Code : Individual
Provider Name (Legal Business Name) : KOUROSH SAGHAFI
Provider Business Mailing Address
First Line : 6681 RIDGE ROAD
Second Line : SUITE 300
City : PARMA
State : OH
Zip : 44129-5713
Country : US
Telephone Number : 440-842-8675
Fax Number : 440-842-1299
Provider Business Practice Location Address
First Line : 6681 RIDGE ROAD
Second Line : SUITE 300
City : PARMA
State : OH
Zip : 44129-5713
Country : US
Telephone Number : 440-842-8675
Fax Number : 440-842-1299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 02/19/2008

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Directions to “ KOUROSH SAGHAFI ” Practice Location

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