Active NPIIndividual provider

Dr. Shiva Rezvanian, MD

Internal Medicine in Phillipsburg, New Jersey

NPI Number1043421811
Practice location
185 Roseberry St, Phillipsburg, NJ 08865-1690
Fax
908-835-1886
Last updated
November 29, 2021

Shiva Rezvanian is an Internal Medicine based in Phillipsburg, NJ. Shiva Rezvanian practices in Phillipsburg, NJ and has the professional credentials of MD. The NPI Number for Shiva Rezvanian is 1043421811 and holds a License No. N-A (NJ). The current practice location address for Shiva Rezvanian is 185 Roseberry St, Phillipsburg, NJ 08865-1690 and can be reached out via phone at 908-835-1910 and via fax at 908-835-1886.

Provider Profile Details

NPI Number
1043421811
Provider Name
Shiva Rezvanian
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
185 Roseberry St, Phillipsburg, NJ 08865-1690
Phone Number
908-835-1910
Fax Number
908-835-1886
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
May 24, 2007
Last Update Date
November 29, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
185 Roseberry St
Phillipsburg, NJ 08865-1690
Zip
08865-1690
Phone Number
908-835-1910
Fax Number
908-835-1886
Phillipsburg, NJ 08865Get directions →

Provider Business Mailing Address Details

Address
Po Box 6801
Bridgewater, NJ 08807-0801
City
Bridgewater
State
NJ
Zip
08807-0801
Phone Number
908-387-6611

License Information

License Number
N-A
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Shiva Rezvanian, MD?

The NPI number of Dr. Shiva Rezvanian, MD is 1043421811. It was assigned on May 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Shiva Rezvanian, MD?

Dr. Shiva Rezvanian, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number N-A.

Where does Dr. Shiva Rezvanian, MD practice?

The practice location is 185 Roseberry St, Phillipsburg, NJ 08865-1690. The office can be reached at 908-835-1910 (phone) or 908-835-1886 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043421811 directly on the NPPES registry website.

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