Kazerooni, Nina L
Kazerooni, Nina L is an individual health care provider with primary practice located at 7908 Monterey Bay Dr , Jacksonville FL 32256-2934. She recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Kazerooni, Nina L can be contacted via phone (904) 507-9318.Contact Information
Primary practice address
7908 Monterey Bay Dr
Jacksonville FL 32256-2934
Phone: (904) 507-9318
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | ME82160 | Florida |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | ME82160 | Florida |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | ME82160 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | ME82160 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME82160 | Florida |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ME82160 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | ME82160 | Florida |
Profile Details
| NPI number | 1003835208 |
|---|---|
| LBN Legal business name | Kazerooni, Nina L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Feb 12th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003835208 | NPPES |
| Georgia | MEDICAID | 00938869A | |
| Georgia | Other | 08689 | |
| Georgia | MEDICAID | 263628000 |
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