Individual
SAMAREH MOUSSAVAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3881
Mailing address
3605 WARRENSVILLE CENTER RD, SHAKER HEIGHTS, OH 44122-5203
(440) 684-5979
(440) 684-5952
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35-083297
OH
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35-083297
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2435065
—
OH
Enumeration date
07/15/2006
Last updated
08/02/2019
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