Lustberg, Maryam Beheshti
Lustberg, Maryam Beheshti is an individual health care provider with primary practice located at 460 W 10Th Ave , Columbus OH 43210-1240. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Lustberg, Maryam Beheshti can be contacted via phone (614) 293-6529.Contact Information
Primary practice address
460 W 10Th Ave
Columbus OH 43210-1240
Phone: (614) 293-6529
Fax: (614) 293-9469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 35.090303 | Ohio |
Profile Details
| NPI number | 1639111065 |
|---|---|
| LBN Legal business name | Lustberg, Maryam Beheshti |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Dec 4th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639111065 | NPPES |
| Ohio | MEDICAID | 3093496 |
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