| Doctor Name: | DR. AMIN SANEI MOGHADDAM |
| NPI Number: | 1467808014 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D., MPH |
| License Number: | 121831 |
| Business Practice Address: | 3000 Arlington Ave Neurology Department Toledo, OH - 436142595 |
| Business Phone Number: | 4193833661 |
| Business Fax Number: | 4193833093 |
| Mailing Address: | 3000 Arlington Ave, Neurology Department TOLEDO |
| State: | OH |
| Postal Code: | 436142595 |
| Phone Number: | 4193833661 |
| Fax Number: | 4193833093 |
| NPI Enumeration Date: | 05/12/2016 |
| NPI Last Update Date: | 05/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 121831 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ZZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |