Individual
DR. REZA NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A40399
CA
208800000X
Urology Physician
Primary
A40399
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407910
CIGNA
—
05
—
1901117
—
CA
Enumeration date
10/05/2005
Last updated
10/07/2010
Update your record
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