Individual
DR. SHABAN NAZARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 HUNDERTMARK RD STE 115N, CHASKA, MN 55318-1584
(952) 361-2450
(952) 361-2461
Mailing address
500 S MAPLE ST, WACONIA, MN 55387-1791
(952) 442-2191
(952) 442-8055
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
39394
MN
Other
Enumeration date
08/14/2007
Last updated
07/11/2019
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