Provider Demographics
NPI:1407067150
Name:ZARRINMAKAN MEHRDAD MD INC
Entity Type:Organization
Organization Name:ZARRINMAKAN MEHRDAD MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MEHRDAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARRINMAKAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-856-4366
Mailing Address - Street 1:8952 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-2352
Mailing Address - Country:US
Mailing Address - Phone:330-856-4366
Mailing Address - Fax:330-856-9656
Practice Address - Street 1:8952 E MARKET ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-2352
Practice Address - Country:US
Practice Address - Phone:330-856-4366
Practice Address - Fax:330-856-9656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3010833Medicaid
OH9358841Medicare PIN