Individual
REZA MEHZAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 MACK RD, SUITE 100, FAIRFIELD, OH 45014-5335
(513) 751-4222
(513) 874-3023
Mailing address
3000 MACK RD, SUITE 100, FAIRFIELD, OH 45014-5335
(513) 751-4222
(513) 874-3023
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-089772
OH
207R00000X
Internal Medicine Physician
L9368
TX
207RC0000X
Cardiovascular Disease Physician
35089772
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
35-089772
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278600000
—
MN
05
—
2840493
—
OH
Enumeration date
06/25/2006
Last updated
08/04/2025
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