Individual
DR. MOSTAFA MIRHAIDARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3515 MASSILLON RD STE 250, UNIONTOWN, OH 44685
(330) 896-5651
(330) 896-5685
Mailing address
3515 MASSILLON RD STE 250, UNIONTOWN, OH 44685-7854
(330) 896-5651
(330) 896-5685
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-00-8184 M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2544830
—
OH
Enumeration date
08/08/2006
Last updated
08/01/2019
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