Rezai, Nina

Rezai, Nina is an individual health care provider with primary practice located at 7225 Rainbow Dr , San Jose CA 95129-4552. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rezai, Nina can be contacted via phone (408) 524-5750.

Contact Information

Primary practice address
7225 Rainbow Dr San Jose CA 95129-4552
Phone: (408) 524-5750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A63177 California

Profile Details

NPI number 1063408490
LBN Legal business name Rezai, Nina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Sep 17th, 2012 - about 14 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 1063408490 NPPES
California Other 004631770 BLUE SHIELD

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