Individual
DR. HAMID REZA MOHTASHAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 W 10TH AVE, COLUMBUS, OH 43210-1280
(614) 293-4969
(614) 293-6111
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-4969
(614) 293-6111
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
8791-851
WI
207RX0202X
Medical Oncology Physician
Primary
57.252211
OH
2084N0400X
Neurology Physician
35.148462
OH
Other
Enumeration date
04/08/2021
Last updated
05/17/2024
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