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Individual

DR. AMIR SEAN NAGAVI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 ALDER ST, SOUTH BEND, WA 98586-4900
(360) 875-5526
Mailing address
3930 NE GRAND AVE, PORTLAND, OR 97212-1106

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
60400513
WA
207P00000X
Emergency Medicine Physician
MD163822
OR
207P00000X
Emergency Medicine Physician
Primary
N8048
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
283012701
TX
05
283012702
TX
01
P01033171
RAILROAD
TX
Enumeration date
06/23/2008
Last updated
03/19/2026
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