Individual
TEYMOUR SEPAHBODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35900 EUCLID AVE, WILLOUGHBY, OH 44094-4623
(440) 953-3000
(440) 602-3953
Mailing address
8242 DIXIE HWY, APT D, IRA, MI 48023-2560
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301044235
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500336
—
MI
Enumeration date
06/14/2006
Last updated
07/08/2007
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