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Individual
DR. MORTEZA MIRHAIDARI
Active
Individual
DR. MORTEZA MIRHAIDARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM, MD
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.002348
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0624793
—
OH
01
—
480005452
RAILROAD MEDICARE
OH
Enumeration date
08/08/2006
Last updated
12/18/2012
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