Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 35098211 | OH |
N | 207RP1001X | Pulmonary Disease | 35098211 | OH |
NPI | 1003806134 |
---|---|
Provider Name | Dr. Ghazaleh Bigdeli |
First Address | Youngstown, OH 44514-7130 |
Second Address | Youngstown, OH 44512-5008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2005 |
Last Update Date | 27/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I40603 | (02) | PA |