Individual
MR. NIEMA BRANDON RAZAVIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(137) 457-3658
(813) 449-8618
Mailing address
P O BIOX 198441, ATLANTA, GA 30384-8441
(813) 745-7365
(813) 449-8618
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME169198
FL
Other
Enumeration date
03/23/2019
Last updated
03/25/2025
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