Individual
DR. REZA IZADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D,O.
Contact information
Practice address
1150 VARNUM ST NE, DEPARTMENT OF ANESTHESIOLOGY, WASHINGTON, DC 20017-2104
(914) 582-5909
Mailing address
3117 DEVONSHIRE DR, PLANO, TX 75075-3374
(914) 582-5909
(888) 394-0177
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
244086
NY
207L00000X
Anesthesiology Physician
Primary
N1689
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02907380
—
NY
Enumeration date
05/16/2007
Last updated
06/07/2013
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