Individual
MISS PEGAH BARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1500
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
011593-1
NY
363A00000X
Physician Assistant
Primary
50.005276RX
OH
Other
Enumeration date
01/29/2007
Last updated
05/01/2020
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