Amir Mortazavi
Medical Oncology
460 W 10th Ave
Columbus
, Ohio 43210-1240
Amir Mortazavi
Medical Oncology
460 W 10th Ave
Columbus
, Ohio 43210-1240
(614) 293-6529
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About
Features
Specialties
- Medical Oncology
Languages spoken
- English
Location
First Address
- Amir Mortazavi
- 700 Ackerman Rd Ste 2120
- Columbus, OH
- Zip : 43202-1559
- Phone : (614) 293-6529
Second Address
- Amir Mortazavi
- 460 W 10th Ave
- Columbus, OH
- Zip : 43210-1240
- Fax : (614) 293-9469
- Phone : (614) 293-6529
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RX0202X | Medical Oncology | 35083134 | OH |
National Provider Identifier
| NPI | 1124036181 |
|---|---|
| Provider Name | Amir Mortazavi |
| First Address | Columbus, OH 43202-1559 |
| Second Address | Columbus, OH 43210-1240 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/08/2006 |
| Last Update Date | 18/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2551591 | (05) | OH |
| I28801 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.