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Individual

DR. FERESHTE KHAVARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
120 W. MAIN ST., NEW WASHINGTON, OH 44854
(419) 492-2200
(419) 492-2100
Mailing address
120 W. MAIN ST., NEW WASHINGTON, OH 44854
(419) 492-2200
(419) 492-2100

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35075279K
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2194585
OH
01
KH2020801
MEDICARE FQHC PIN
OH
01
KH4184491
MEDICARE FQHC PIN
OH
Enumeration date
05/18/2006
Last updated
12/30/2020
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