Individual
DR. MOHAMMAD ALI VARGHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2420 LAKE AVE, ASHTABULA, OH 44004-4954
(440) 994-7600
(440) 994-7603
Mailing address
2420 LAKE AVE, ASHTABULA, OH 44004-4954
(440) 994-7600
(440) 994-7603
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35-053339
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000390417
ANTHEM
OH
01
—
002081415
HIGHMARK
OH
05
—
0858602
—
OH
Enumeration date
07/16/2005
Last updated
05/27/2011
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