Individual
NASIM MASTOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 BELLEFONTAINE AVE, SUITE 230, LIMA, OH 45804-2851
(419) 998-8255
(419) 226-8335
Mailing address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 998-4575
(419) 998-4586
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35.120131
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072864
—
OH
05
—
3810024141
—
WV
Enumeration date
04/29/2009
Last updated
01/04/2021
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