Most Relevant Information
Provider Data
| NPI Number: | 1003826819 |
| Provider Name: | MOSTAFA MIRHAIDARI D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 34-00-8184 M |
Most Important Dates
| Enumeration Date: | 08/08/2006 |
| Last Updated: | 08/01/2019 |
Provider Practice Location
3515 MASSILLON RD STE 250
UNIONTOWN
OH
44685
Practice Location Phone/Fax
| Phone: | 3308965651 |
| Fax: | 3308965685 |
Provider Mailing Location
3515 MASSILLON RD STE 250
UNIONTOWN
OH
446857854
Provider Mailing Phone/Fax
| Phone: | 3308965651 |
| Fax: | 3308965685 |
Suggested EMR
Family Practice EMR