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Individual

DR. MICHAEL MOHAMMAD REZAIAN

Active
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Individual

DR. MICHAEL MOHAMMAD REZAIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
16112
WV
207RR0500X
Rheumatology Physician
Primary
16112
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0081978000
WV
01
466846
ANTHEM BLUE CROSS
VA
Enumeration date
12/28/2006
Last updated
09/11/2025
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