Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 35.132319 | OH |
Y | 111NI0900X | Internist | 35.132319 | OH |
NPI | 1003284076 |
---|---|
Provider Name | Mani Khorsand Askari |
First Address | Fremont, OH 43420-2632 |
Second Address | Fremont, OH 43420 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2015 |
Last Update Date | 25/11/2019 |