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Individual
NINA REZAI
Active
Individual
NINA REZAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A63177
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004631770
BLUE SHIELD
CA
Enumeration date
09/21/2005
Last updated
09/17/2012
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