Individual
REZA S SAZGARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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