Organization
BOW TIE MEDICAL OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FIROUZ DANESHGARI MD (CEO/CMO)
(877) 283-8663
Entity
Organization
Contact information
Practice address
7500 TOWN CENTRE DR STE 200, BROADVIEW HEIGHTS, OH 44147-4029
(877) 283-8863
(213) 784-5670
Mailing address
7750 TOWN CENTRE DR STE 300, BROADVIEW HEIGHTS, OH 44147-4040
(877) 283-8863
(213) 784-5670
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/12/2013
Last updated
01/20/2022
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