Organization
REZA A NAINI MD PA
Active
Other names
Reza Aghazadeh-na-ini PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA AGHAZADEH NAINI MD (OWNER PHYSICIAN)
(410) 535-3787
Entity
Organization
Contact information
Practice address
110 HOSPITAL RD, SUITE 203, PRINCE FREDERICK, MD 20678-4019
(410) 535-3787
(410) 257-3866
Mailing address
110 HOSPITAL RD, SUITE 203, PRINCE FREDERICK, MD 20678-4019
(410) 535-3787
(410) 257-3866
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210241200
—
MD
01
—
6378RE
BLUE SHIELD
MD
01
—
6673
BLUE SHIELD NCA
—
Enumeration date
02/21/2007
Last updated
05/09/2008
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