MEDICARE: REZVANEH GOODARZI CRNP

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
1	363LF0000X	Family Nurse Practitioner	F09201007	MD

General Provider Information

NPI Number	:	1316544315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REZVANEH GOODARZI CRNP

Provider Business Mailing Address
First Line	:	5450 KNOLL NORTH DR STE 260
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2394
Country	:	US
Telephone Number	:	410-964-6200
Fax Number	:

Provider Business Practice Location Address
First Line	:	5450 KNOLL NORTH DR STE 250
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2368
Country	:	US
Telephone Number	:	410-964-6115
Fax Number	:	410-964-5315

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2020
Last Update Date	:	03/21/2023

Similar Medicare Providers

1598767691 — ROBERT F CADOGAN MD
Practice Location Address:

5450 KNOLL NORTH DR STE 250
COLUMBIA, MD
21045-2368

Practice Phone: 410-964-6200
Practice Fax: 410-964-5315

1245334408 — VIVIEN NGAH-TSE TO MD
Practice Location Address:

5450 KNOLL NORTH DR STE 250
COLUMBIA, MD
21045-2368

Practice Phone: 410-964-6200
Practice Fax: 410-964-6392

1205831765 — GEORGIA MEDICAL EQUIPMENT AND RESPIRATORY SERVICES INC
Practice Location Address:

1891 N COLUMBIA ST , STE 109
MILLEDGEVILLE, GA
31061-2368

Practice Phone: 478-451-5185
Practice Fax: 478-451-5187

1578245080 — MISS KARLEE LAMBERT LMSW
Practice Location Address:

4035 VISTA TOWERS DR
COLUMBIA, SC
29201-2368

Practice Phone: 321-501-6215
Practice Fax:

1699613513 — MADISON PLITT
Practice Location Address:

8818 CENTRE PARK DR FL 2
COLUMBIA, MD
21045-2159

Practice Phone: 301-265-5617
Practice Fax:

1477271757 — VERONICA LUNDGREN
Practice Location Address:

8558 BLACK STAR CIR
COLUMBIA, MD
21045-2649

Practice Phone: 240-374-3368
Practice Fax:

Directions to “ REZVANEH GOODARZI CRNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.