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1376736553

NPI Code Detail

MEDICARE: ELNAZ NASSEHZADEH TABRIZI MD

MEDICARE: ELNAZ NASSEHZADEH TABRIZI MD

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	207RR0500X	Rheumatology Physician	2011-01299	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	003378953	OTHER		UHC
2	9744760	OTHER	NC	AETNA
3	165W4	OTHER	NC	BCBS
4	22971168	OTHER	NC	CIGNA

General Provider Information

NPI Number	:	1376736553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELNAZ NASSEHZADEH TABRIZI MD

Provider Business Mailing Address
First Line	:	801 E MOREHEAD ST STE 100
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28202-3195
Country	:	US
Telephone Number	:	704-342-0252
Fax Number	:	980-533-7801

Provider Business Practice Location Address
First Line	:	801 E MOREHEAD ST STE 100
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28202-3195
Country	:	US
Telephone Number	:	704-342-0252
Fax Number	:	980-533-7801

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

Provider Enumeration Date	:	08/22/2007
Last Update Date	:	06/10/2026

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Directions to “ ELNAZ NASSEHZADEH TABRIZI MD” 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.

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