Provider Demographics
NPI:1518935279
Name:RAZMJOUEI, KARIM (MD)
Entity Type:Individual
Prefix:
First Name:KARIM
Middle Name:
Last Name:RAZMJOUEI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1027
Mailing Address - Street 2:
Mailing Address - City:MIDDLEFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44062-1027
Mailing Address - Country:US
Mailing Address - Phone:440-632-0770
Mailing Address - Fax:216-201-7932
Practice Address - Street 1:15976 E HIGH ST STE 100
Practice Address - Street 2:
Practice Address - City:MIDDLEFIELD
Practice Address - State:OH
Practice Address - Zip Code:44062-9474
Practice Address - Country:US
Practice Address - Phone:440-632-0770
Practice Address - Fax:216-201-7932
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-08-2460-R207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2421267Medicaid
OH2421267Medicaid
OH4110046Medicare PIN
OH4110042Medicare PIN
OH2421267Medicaid