Individual
DR. MINA R MOKHTARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3121 W BROAD ST, COLUMBUS, OH 43204-1306
(614) 274-6100
(614) 351-1125
Mailing address
3121 W BROAD ST, COLUMBUS, OH 43204-1306
(614) 274-6100
(614) 351-1125
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35041223
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000117449
ANTHEM BLUE CROSS/BLUE SH
OH
05
—
0359811
—
OH
Enumeration date
09/20/2006
Last updated
07/13/2007
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