Provider Demographics
NPI:1699187948
Name:MONFARED, SARA HASSAN BEYGI (MD)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:HASSAN BEYGI
Last Name:MONFARED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 AKRON GENERAL AVE STE 492
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44307-2432
Mailing Address - Country:US
Mailing Address - Phone:330-344-4751
Mailing Address - Fax:330-344-0092
Practice Address - Street 1:1 AKRON GENERAL AVE STE 492
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307-2432
Practice Address - Country:US
Practice Address - Phone:330-344-4751
Practice Address - Fax:330-344-0092
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-21
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT0291208600000X
390200000X
OH35.145849208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program