Individual
NICOLE JILA GHAFFARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
16761 SOUTHPARK CTR, STRONGSVILLE, OH 44136-9302
(440) 878-2500
Mailing address
1560 CEDARWOOD DR APT B, WESTLAKE, OH 44145-2178
(440) 714-0522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.017344
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2021
Last updated
07/29/2024
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