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Individual

KOUROSH SAGHAFI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6681 RIDGE ROAD, SUITE 300, PARMA, OH 44129-5713
(440) 842-8675
(440) 842-1299
Mailing address
6681 RIDGE ROAD, SUITE 300, PARMA, OH 44129-5713
(440) 842-8675
(440) 842-1299

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
34006341
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0255585
OH
Enumeration date
12/28/2005
Last updated
02/19/2008
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