Individual
MASARRATH JAHAN MOINUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
232 MAEVE CT, BALLWIN, MO 63021-7944
(636) 527-5959
Mailing address
3999 RICHMOND RD, BEACHWOOD, OH 44122-6046
(216) 593-5500
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2006015222
MO
207RC0000X
Cardiovascular Disease Physician
Primary
35087013
OH
Other
Enumeration date
06/17/2007
Last updated
09/28/2020
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