Individual
DR. BIJAN GOODARZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
975 BETHESDA DR, ZANESVILLE, OH 43701-7500
(740) 454-6808
(740) 454-2236
Mailing address
860 BETHESDA DR, ZANESVILLE, OH 43701-1800
(740) 454-4651
(740) 454-4653
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35052540
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000177088
UNISON PIN
OH
01
—
000000185164
ANTHEM PIN
OH
05
—
0655778
—
OH
01
—
0700191
UHC PIN
OH
01
—
0989499
GROUP MEDICAID
OH
01
—
160051600
MEDICARE RAILROAD
OH
01
—
311413469039
CARESOURCE PIN
OH
01
—
CA1586
GROUP MEDICARE RAILROAD
—
01
—
GO0640462
MEDICARE PTAN
—
Enumeration date
12/16/2005
Last updated
11/25/2008
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