1227 East Market Street, Inc.

NPI #1871757260 in Warren, Ohio

Provider Information

NPI Number: 1871757260
Entity Type: Organization
Organization Name: 1227 East Market Street, Inc.
Primary Specialty: Specialist
Enumeration Date: Jul 15, 2008
Last Updated: Aug 16, 2011

Practice Location

Address: 1227 E MARKET ST
City: Warren
State: Ohio
ZIP Code: 44483-6605
Phone: (330) 393-1501

Authorized Official

Name: PARISA KHAVARI, M.D.
Title: OWNER
Phone: (330) 393-1501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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