# DR. MORTEZA MIRHAIDARI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1598775280
- **Gender:** Man
- **Credential:** DPM, MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36.002348 | OH | Yes |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 12/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0624793 | — | OH |
| 01 | — | 480005452 | RAILROAD MEDICARE | OH |