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Individual
DR. REZA NABAVIZADEH
Active
Individual
DR. REZA NABAVIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
105501
GA
208800000X
Urology Physician
2024-02249
NC
208800000X
Urology Physician
22454
WI
208800000X
Urology Physician
Primary
71077
MN
208800000X
Urology Physician
77702
WI
Other
Enumeration date
06/18/2017
Last updated
08/22/2025
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