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Nader Rezvan, MD
Specialist in Bloomington, Indiana
NPI 1194888644

Nader Rezvan is a Specialist based in Bloomington, IN. Nader Rezvan practices in Bloomington, IN and has the professional credentials of MD. The NPI Number for Nader Rezvan is 1194888644 and holds a License No. 01023405 (Indiana).

The current practice location address for Nader Rezvan is 601 W 2Nd St, Bloomington, IN and can be reached out via phone at 866-483-4804 and via fax at 317-870-0499. You can also correspond with Nader Rezvan through the mailing address at 2312 N DUNN ST, BLOOMINGTON, IN - 47408-1327 (mailing address contact number: 866-483-4804).

Location: 601 W 2Nd St, Bloomington, IN, 47408-1327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194888644
Provider Name
Nader Rezvan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
601 W 2Nd St, Bloomington, IN, 47408-1327
Phone Number
866-483-4804
Fax Number
317-870-0499
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100182840A 05 IN
institution
Provider Business Practice Location Address Details
Address
601 W 2Nd St
City
Bloomington
State
Indiana
Zip
47403-2317
Phone Number
866-483-4804
Fax Number
317-870-0499
person
Provider Business Mailing Address Details
Address
2312 N Dunn St
City
Bloomington
State
Indiana
Zip
47408-1327
Phone Number
866-483-4804
Fax Number
317-870-0499
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
01023405 (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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