Individual
BEHTASH GHAZI NEZAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
251 E HURON ST STE 7-132I, CHICAGO, IL 60611-2908
(312) 926-7913
(312) 926-3127
Mailing address
251 E HURON ST STE 7-132I, CHICAGO, IL 60611-2908
(312) 926-7913
(312) 926-3127
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036160562
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2016
Last updated
07/13/2022
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