Healthcare Provider Details

I. General information

NPI: 1598348401
Provider Name (Legal Business Name): SABA NAWAZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2021
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 N 11TH ST
RICHMOND VA
23298-5024
US

IV. Provider business mailing address

415 MORRIS ST STE 300
CHARLESTON WV
25301-1853
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-8965
  • Fax:
Mailing address:
  • Phone: 304-388-6441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number0101286209
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: