Individual
PARVIZ B. SANJABI
Active
Individual
PARVIZ B. SANJABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036051114
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051114
—
IL
01
—
133133805
DOL BLACK LUNG
IL
05
—
370966854018
—
IL
01
—
640701001
MEDICARE PTAN
IL
01
—
CF3444
MEDICARE RR GROUP
IL
Enumeration date
11/11/2008
Last updated
04/19/2011
Update your record
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