Bazooband, Alireza

Bazooband, Alireza is an individual health care provider with primary practice located at 800 Prudential Dr , Jacksonville FL 32207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Bazooband, Alireza can be contacted via phone (904) 202-1347.

Contact Information

Primary practice address
800 Prudential Dr Jacksonville FL 32207
Phone: (904) 202-1347
Fax: (904) 202-3232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME90006 Florida

Profile Details

NPI number 1124051826
LBN Legal business name Bazooband, Alireza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Nov 1st, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124051826 NPPES
Florida Other P00351519 RAILROAD MEDICARE

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