Individual
RAUF SHAHBAZOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 EAST ADAMS ST, SUITE 2W, SYRACUSE, NY 13210
(315) 464-9535
(315) 464-6288
Mailing address
251 SALINA MEADOWS PKWY, STE 100, SYRACUSE, NY 13212
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
0116027734
VA
204F00000X
Transplant Surgery Physician
Primary
293587
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730569633
—
VA
Enumeration date
06/05/2015
Last updated
05/02/2018
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