# OHIO CARDIOTHORACIC & VASUCLAR SURGEONS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417907155
- **Authorized official:** FARZIN FOTOUHI M.D. (VICE PRESIDENT)
- **Authorized official phone:** (419) 227-7702

## Contact information

- **Practice address:** 951 COMMERCE PKWY, SUITE 201, LIMA, OH 45804-4040
- **Practice address phone:** (419) 227-7702
- **Practice address fax:** (419) 227-7991
- **Mailing address:** 951 COMMERCE PKWY, SUITE 201, LIMA, OH 45804-4040
- **Mailing address phone:** (419) 227-7702
- **Mailing address fax:** (419) 227-7991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 02/03/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2252388 | — | OH |
| 01 | — | 4513328 | AETNA | OH |