1227 East Market Street, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

35065329 Issued in OH

Legal business name

1227 EAST MARKET STREET, INC.

Doing business as

Parisa Khavari, M.D.

Practice address

1227 E Market St
Warren, OH 44483-6605

Phone

(330) 393-1501

Fax

(330) 394-4539

NPI assigned

Jul 15, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Parisa Khavari, M.D.

Title

Owner

Phone

(330) 393-1501

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Parisa Khavari, M.D. Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1871757260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836605",
            "telephone_number": "330-393-1501",
            "fax_number": "330-394-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836605",
            "telephone_number": "330-393-1501",
            "fax_number": "330-394-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1227 EAST MARKET STREET, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "KHAVARI",
        "authorized_official_first_name": "PARISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-393-1501",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35065329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0504583",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parisa Khavari, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Warren, OH
• Providers in Warren, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.