Individual
TOURAJ TAGHIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7255 OLD OAK BLVD, C208, MIDDLEBURG HEIGHTS, OH 44130-3329
(440) 816-2708
(440) 243-8480
Mailing address
7255 OLD OAK BLVD, C208, MIDDLEBURG HEIGHTS, OH 44130-3329
(440) 816-2708
(440) 243-8480
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35074563
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000132618
ANTHEM BLUE CROSS/BLUE SH
OH
01
—
060051346
RAILROAD MEDICARE
OH
01
—
100653
KAISER
OH
05
—
2093390
—
OH
01
—
2501674
UNITED HEALTHCARE
OH
01
—
341487428
TAX ID
OH
01
—
417130001
CARESOURCE
OH
01
—
5279647
AETNA
OH
01
—
86797
QUALCHOICE
OH
01
—
P74563
SUMMACARE
OH
Enumeration date
07/01/2006
Last updated
12/11/2018
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