Organization
1227 EAST MARKET STREET, INC.
Active
Other names
Parisa Khavari, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
PARISA KHAVARI M.D. (OWNER)
(330) 393-1501
Entity
Organization
Contact information
Practice address
1227 E MARKET ST, WARREN, OH 44483-6605
(330) 393-1501
(330) 394-4539
Mailing address
1227 E MARKET ST, WARREN, OH 44483-6605
(330) 393-1501
(330) 394-4539
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35065329
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0504583
—
OH
Enumeration date
07/15/2008
Last updated
08/16/2011
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