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Individual

SHAHAB REZVANI

Active
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Individual

SHAHAB REZVANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301105203
MI
2085R0202X
Diagnostic Radiology Physician
4301501046
MI
2085R0202X
Diagnostic Radiology Physician
55364
KY
2085R0202X
Diagnostic Radiology Physician
Primary
ME145200
FL

Other

Enumeration date
05/02/2014
Last updated
09/24/2024
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