Individual
MRS. KEYHAN MOBASSERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7211 BROADWAY AVE, SUITE 1, CLEVELAND, OH 44105-1400
(216) 441-5474
(216) 441-3865
Mailing address
7211 BROADWAY AVE, SUITE 1, CLEVELAND, OH 44105-1400
(216) 441-5474
(216) 441-3865
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35035275M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0215172
—
OH
01
—
0419591
MEDICARE PICAN
OH
Enumeration date
08/14/2006
Last updated
12/13/2016
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