Individual
DR. SHAHRIAR A NABIZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 OAK ST, GREEN COVE SPRINGS, FL 32043-4317
(904) 723-5665
(904) 723-5653
Mailing address
PO BOX 16373, JACKSONVILLE, FL 32245-6373
(904) 723-5665
(904) 723-5653
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME72727
FL
208VP0000X
Pain Medicine Physician
ME72727
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168186
AETNA
FL
01
—
235909
AVMED HMO
FL
01
—
250010395
MEDICARE RAILROAD
FL
01
—
252411200
MEDIPASS
FL
05
—
252411200
—
FL
01
—
373007700
DEPT OF LABOR WORKCOMP
FL
01
—
41489
BLUE CROSS BLUE SHIELD
FL
01
—
593590543
UNITED HEALTHCARE
FL
Enumeration date
07/03/2006
Last updated
09/01/2023
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