Khavari, Fereshte

Khavari, Fereshte is an individual health care provider with primary practice located at 120 W. Main St. , New Washington OH 44854. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Khavari, Fereshte can be contacted via phone (419) 492-2200.

Contact Information

Primary practice address
120 W. Main St. New Washington OH 44854
Phone: (419) 492-2200
Fax: (419) 492-2100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35075279K Ohio

Profile Details

NPI number 1750334827
LBN Legal business name Khavari, Fereshte
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Dec 30th, 2020 - about 6 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 1750334827 NPPES
Ohio Other KH2020801 MEDICARE FQHC PIN
Ohio Other KH4184491 MEDICARE FQHC PIN
Ohio MEDICAID 2194585 MEDICARE FQHC PIN

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