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Individual

REZA S SAZGARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
32227 ARLINGTON DRIVE, BEVERLY HILLS, MI 48025-4217
(248) 953-4703
(216) 255-5701
Mailing address
23625 COMMERCE PARK, STE 204, BEACHWOOD, OH 44122
(216) 255-5700
(216) 255-5701

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301074768
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1620742
LA
01
2085R020X
TAXONOMY
MI
05
2905762
OH
01
383162435
TAX ID COMMERCIAL INSURANCE
MI
05
4769421
MI
05
4930796
MI
01
5968608
AETNA
MI
01
700E021830
BCBS PROF GRP PIN
MI
01
700E021910
BCBS PROF GRP PIN
MI
01
700F340300
BCBS PROF GRP PIN
MI
01
I08753
UPIN
MI
01
P00433250
GBA PALMETTO RAILROAD MEDICARE
MI
01
RS074768
STATE LICENSE
MI
Enumeration date
05/03/2006
Last updated
01/21/2021
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