Individual
DR. PAYAM NABIZADEH-ERAGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-1316
(912) 350-2156
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-1316
(912) 350-2156
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
073888
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME141250
FL
207RP1001X
Pulmonary Disease Physician
ME141250
FL
208M00000X
Hospitalist Physician
073888
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
GA
Enumeration date
04/11/2012
Last updated
01/04/2022
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