# REZA A NAINI MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Reza Aghazadeh-na-ini PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679618136
- **Authorized official:** DR. REZA AGHAZADEH NAINI MD (OWNER PHYSICIAN)
- **Authorized official phone:** (410) 535-3787

## Contact information

- **Practice address:** 110 HOSPITAL RD, SUITE 203, PRINCE FREDERICK, MD 20678-4019
- **Practice address phone:** (410) 535-3787
- **Practice address fax:** (410) 257-3866
- **Mailing address:** 110 HOSPITAL RD, SUITE 203, PRINCE FREDERICK, MD 20678-4019
- **Mailing address phone:** (410) 535-3787
- **Mailing address fax:** (410) 257-3866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 05/09/2008