Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 837395 | DC |
NPI | 1245410737 |
---|---|
Provider Name | Mohammad R Rajabi |
First Address | Mayfield Heights, OH 44124-2299 |
Second Address | Cleveland, OH 44195-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2007 |
Last Update Date | 02/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1902827876 | GROUP NPI (01) | OH |
2597355 | MEDICAID GROUP (01) | OH |
2776518 | (05) | OH |