Individual
BOBAK MOVAGHAR OSSAREH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 WOODRUFF CIR NE STE 327, ATLANTA, GA 30322-1020
(404) 727-5658
Mailing address
5073 HEATHER DR APT 110, DEARBORN, MI 48126-2868
(248) 285-2857
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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