Individual
MOJGAN SARMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
504 W CAMP ST, LEBANON, IN 46052-1647
(765) 482-7005
Mailing address
504 W CAMP ST, LEBANON, IN 46052-1647
(765) 482-7005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01072209A
IN
Other
Enumeration date
09/08/2009
Last updated
01/21/2014
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