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Individual

AZIZ TAHIROV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
320 POMFRET STREET, PUTNAM, CT 06260
(860) 928-6541
Mailing address
1613 N. HARRISON PARKWAY, SUITE 200, MAILSTOP SH-9A, SUNRISE, FL 33323-2896
(954) 838-2371
(954) 851-1746

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN646736
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
005603
CT

Other

Enumeration date
12/20/2013
Last updated
08/27/2025
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