Mortazavi, Amir

Mortazavi, Amir is an individual health care provider with primary practice located at 460 W 10Th Ave , Columbus OH 43210-1240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Mortazavi, Amir 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:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 35083134 Ohio

Profile Details

NPI number 1124036181
LBN Legal business name Mortazavi, Amir
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Nov 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124036181 NPPES
Ohio MEDICAID 2551591

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