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297 N Main St Ste 7 Munroe Falls OH 44262-1077 | |
(330) 765-4141 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 297 N Main St Ste 7, Munroe Falls, Ohio |
Authorized Official Name and Position | Nancy Naghavi (PHYSICIAN) |
Authorized Official Contact | 3307654141 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4490 Darrow Rd Stow OH 44224-1885 Ph: (330) 765-4141 | 297 N Main St Ste 7 Munroe Falls OH 44262-1077 Ph: (330) 765-4141 |
NPI Number | 1669086260 |
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Provider Enumeration Date | 09/02/2020 |
Last Update Date | 12/04/2023 |
Medicare PECOS PAC ID | 3678992328 |
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Medicare Enrollment ID | O20200929002278 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669086260 | NPI | - | NPPES |
0382952 | Medicaid | OH | |
0421076 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Nancy Naghavi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811978901 PECOS PAC ID: 0941295307 Enrollment ID: I20180503002350 |
Provider Name | Kamran Kheder |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346829173 PECOS PAC ID: 7416359906 Enrollment ID: I20241004000688 |