Individual
NIMA MALAKOOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 PALMER AVENUE, BELLEFONTAINE, OH 43311-1716
(216) 844-8447
Mailing address
205 PALMER AVENUE, BELLEFONTAINE, OH 43311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.121527
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164733820
—
OH
Enumeration date
06/28/2010
Last updated
03/15/2018
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