Mirzamohammadi, Fatemeh

Mirzamohammadi, Fatemeh is an individual health care provider with primary practice located at 3700 Southern Blvd Ste 201 , Kettering OH 45429-1265. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is her primary health care specialty. Mirzamohammadi, Fatemeh can be contacted via phone (855) 500-2873.

Contact Information

Primary practice address
3700 Southern Blvd Ste 201 Kettering OH 45429-1265
Phone: (855) 500-2873
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 35.156456 Ohio
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 1022749 Massachusetts

Profile Details

NPI number 1679079115
LBN Legal business name Mirzamohammadi, Fatemeh
Credentials MD,PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2018
Last updated Jun 17th, 2026 - about 5 months 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 1679079115 NPPES
Massachusetts Other CDW960678657 BLUECROSS BLUESHIELD

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