Alireza Bazooband in Jacksonville - Anatomic Pathology & Clinical Pathology

Alireza Bazooband - NPI 1124051826

Alireza Bazooband is a Anatomic Pathology & Clinical Pathology in Jacksonville, Florida. Alireza Bazooband practices all healthcare services and medical treatments related to Anatomic Pathology & Clinical Pathology. The NPI Number for Alireza Bazooband is 1124051826. The last update date is 2007-11-01.

Alireza Bazooband's current location address is 800 Prudential Dr, Jacksonville, Florida. You can contact this provider via phone number 9042021347 and fax number 9042023232. The mailing address for Alireza Bazooband is 800 Prudential Dr, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Alireza Bazooband
Address 800 Prudential Dr, Jacksonville, Florida
Phone Number 9042021347
Fax Number 9042023232
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1124051826
Provider Enumeration Date 2006-07-08
Last Updated Date 2007-11-01

Provider Mailing Address Detail

Address 800 Prudential Dr
City Jacksonville
State Florida (FL)
Post Code 32207
Phone Number 9042021347
Fax Number 9042023232

Provider's Primary Taxonomy Detail

Speciality Anatomic Pathology & Clinical Pathology
Taxonomy 207Zp0102X
Licence No ME90006
Definition:
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00351519 FL RAILROAD MEDICARE

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FAQs about Alireza Bazooband

What is the unique 10-digit identification code assigned to Alireza Bazooband by the Centers for Medicare & Medicaid Services?

The Alireza Bazooband has been issued the NPI (National Provider Identifier) 1124051826, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Alireza Bazooband's facilities are geographically located?

The facilities of Alireza Bazooband are physically situated at the following location: 800 Prudential Dr, Jacksonville, FL, 32207.

What is the Alireza Bazooband's specialty and taxonomy code?

The Alireza Bazooband's specialty is Anatomic Pathology & Clinical Pathology, and the corresponding taxonomy code is 207Zp0102X.

On what date did the Alireza Bazooband receive its 1124051826 assignment from the Centers for Medicare & Medicaid Services?

The Alireza Bazooband was assigned its 1124051826 by the Centers for Medicare & Medicaid Services on 2006-07-08.

As of what date were the Alireza Bazooband's details last updated?

The information pertaining to the Alireza Bazooband, including its address, specialty, and other details, was most recently updated on 2007-11-01.

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