Individual
DR. BAHAR MOFTAKHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(111) 111-1111
Mailing address
55 ARCH ST STE 1B, AKRON, OH 44304-1436
(330) 375-3315
(330) 375-7779
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.141316
OH
207RH0003X
Hematology & Oncology Physician
PENDING
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2015
Last updated
06/09/2021
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