Monzavi, Abolfazl
Monzavi, Abolfazl is an individual health care provider with primary practice located at 1110 Yankee Doodle Rd , Eagan MN 55121-2092. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Monzavi, Abolfazl can be contacted via phone (651) 454-3970.Contact Information
Primary practice address
1110 Yankee Doodle Rd
Eagan MN 55121-2092
Phone: (651) 454-3970
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2826 | Minnesota |
Profile Details
| NPI number | 1912960691 |
|---|---|
| LBN Legal business name | Monzavi, Abolfazl |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Mar 11th, 2021 - about 3 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 | 1912960691 | NPPES |
| Minnesota | MEDICAID | 131688500 |
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