Individual
MOHAMMAD ALI REZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 226-4310
(419) 226-4315
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-6930
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35076235
OH
207R00000X
Internal Medicine Physician
4301110057
MI
Other
Enumeration date
06/30/2016
Last updated
09/06/2019
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