Seyed Mirfendereski, M.D.
Individual provider Active NPI Internal Medicine Physician · Warrensville HTS, OH
NPI 1235135161 · NPPES record last updated Jan 7, 2013
Key facts
- NPI
- 1235135161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 35-07-2710-M (OH)
- Practice address
- 4180 Warrensville Ctr Rd.
120A
Warrensville HTS, OH 44122 - Phone
- (216) 491-7660
- Fax
- (216) 491-7662
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-07-2710-M | OH | Yes |
Addresses
Primary practice location
4180 Warrensville Ctr Rd.
120A
Warrensville HTS, OH 44122
Mailing address
PO Box 391405
Solon, OH 44039
Phone (216) 491-7660
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2446651 | Medicaid | OH |
Other providers in Warrensville HTS, OH
- Lisa Ann Knight
- Emma Lash
- Nicole Lehman
- Jenny Lyn Lemmer
- Brenda Elaine McCants
- Janise Moore
- Caprice L Mundy
- My Fathers House Adult Day Services L.L.C.
- Orthopedic Associates of N Ohio Inc
- Orthopedic Associates of Northern Oh Inc
All providers in Warrensville HTS, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.