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Individual

DR. BABAK TOUSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1730 W 25TH ST, SUITE 2A, CLEVELAND, OH 44113-3108
(216) 363-2319
(216) 363-2356
Mailing address
1730 W 25TH ST, SUITE 2A, CLEVELAND, OH 44113-3108
(216) 363-2319
(216) 363-2356

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
35083489
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000368729
ANTHEM
OH
05
2580096
OH
Enumeration date
09/27/2005
Last updated
11/30/2009
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