Individual
DR. NUTAN JYOTHI VAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11850 BLACKFOOT ST NW STE 300, COON RAPIDS, MN 55433-2772
(763) 236-0808
(763) 236-6065
Mailing address
245 W AIRPORT BLVD, PENSACOLA, FL 32505-2254
(850) 473-3726
(850) 505-0079
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
001165
GA
207RH0003X
Hematology & Oncology Physician
162504
MT
207RH0003X
Hematology & Oncology Physician
MD-24844
HI
207RH0003X
Hematology & Oncology Physician
ME113167
FL
207RH0003X
Hematology & Oncology Physician
PT21148
ND
207RX0202X
Medical Oncology Physician
Primary
78892
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14L7Z
BCBSFL
FL
Enumeration date
10/03/2008
Last updated
11/20/2025
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