Organization
ALI MOKHTARI, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI MOKHTARI M.D. (PRESIDENT)
(614) 351-0450
Entity
Organization
Contact information
Practice address
3121 W BROAD ST, COLUMBUS, OH 43204-1306
(614) 351-0450
(614) 351-1125
Mailing address
3121 W BROAD ST, COLUMBUS, OH 43204-1306
(614) 351-0450
(614) 351-1125
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35035614
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0226197
—
OH
Enumeration date
03/09/2007
Last updated
06/13/2008
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