Organization
NABILA NIAZ MD PA
Active
Other names
Nephrology PA
Organization subpart
No
Provider details
NPI number
Authorized official
NABILA NIAZ MD (PRESIDENT)
(727) 821-2388
Entity
Organization
Contact information
Practice address
1201 5TH AVENUE NORTH, SUITE 302, ST PETERSBURG, FL 33705-1457
(727) 821-2388
(727) 821-6887
Mailing address
1201 5TH AVENUE NORTH, SUITE 302, ST PETERSBURG, FL 33705-1457
(727) 821-2388
(727) 821-6887
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46394
BLUE SHIELD
FL
01
—
DD2999
RAILROAD RETIREMENT
—
Enumeration date
12/06/2005
Last updated
08/22/2020
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