Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 34.009607 | OH |
NPI | 1073542239 |
---|---|
Provider Name | Miriam Zidehsarai |
First Address | Fairview Park, OH 44126-3494 |
Second Address | Akron, OH 44302-1704 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2006 |
Last Update Date | 17/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2947431 | (05) | OH |