Geriatric Physician Assistants LLC

NPI #1518105519 in Westlake, Ohio

Provider Information

NPI Number: 1518105519
Entity Type: Organization
Organization Name: Geriatric Physician Assistants LLC
Primary Specialty: Physician Assistant
Enumeration Date: Jan 29, 2009
Last Updated: Jan 29, 2009

Practice Location

Address: 842 CORPORATE WAY
Address 2: SUITE 850
City: Westlake
State: Ohio
ZIP Code: 44145-1537
Phone: (440) 871-4700

Authorized Official

Name: MR. MOHAMMAD REZA IRAVANI, PA
Title: OWNER/PHYSICIAN ASSISTANT
Phone: (440) 506-3058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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