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Individual

DR. REZA NABAVIZADEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
105501
GA
208800000X
Urology Physician
2024-02249
NC
208800000X
Urology Physician
22454
WI
208800000X
Urology Physician
Primary
71077
MN
208800000X
Urology Physician
77702
WI

Other

Enumeration date
06/18/2017
Last updated
08/22/2025
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