Provider Demographics
NPI:1184271520
Name:HAMIDI, MOSKA (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:MOSKA
Middle Name:
Last Name:HAMIDI
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVE F20
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195
Mailing Address - Country:US
Mailing Address - Phone:216-636-9365
Mailing Address - Fax:216-636-0662
Practice Address - Street 1:9500 EUCLID AVE F20
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195
Practice Address - Country:US
Practice Address - Phone:216-636-9365
Practice Address - Fax:216-636-0662
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-21
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.136985208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery