Individual
SEYED ABDOLREZA GHODSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
807 FARSON ST STE 136, BELPRE, OH 45714-1068
(740) 423-3634
(740) 423-3635
Mailing address
416 COLEGATE DR BLDG 3, MARIETTA, OH 45750-9549
(740) 568-4814
(740) 374-3165
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
20199
WV
207T00000X
Neurological Surgery Physician
Primary
35.078655
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2209676
—
OH
05
—
6100039000
—
WV
Enumeration date
03/02/2006
Last updated
04/01/2024
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