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NPI Code Detail

MEDICARE: SABA NAWAZISH M.D.

MEDICARE:   SABA  NAWAZISH  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology PhysicianA165351CA

General Provider Information

NPI Number : 1184086639
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABA NAWAZISH M.D.
Provider Business Mailing Address
First Line : 12086 CLARK ST APT 202
Second Line :
City : MORENO VALLEY
State : CA
Zip : 92557-8667
Country : US
Telephone Number : 669-246-8588
Fax Number :
Provider Business Practice Location Address
First Line : 6906 BROCKTON AVE STE 6
Second Line :
City : RIVERSIDE
State : CA
Zip : 92506-3802
Country : US
Telephone Number : 951-784-8373
Fax Number : 844-897-3788
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2016
Last Update Date : 07/21/2022

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