Active NPI
Reza a Naini MD PA
- Obstetrics & Gynecology Physician
- Prince Frederick, MD
National Provider Identifier
1679618136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- REZA A NAINI MD PA
- Practice address
- 110 Hospital Rd
Suite 203
Prince Frederick, MD 20678-4019 - Phone
- (410) 535-3787
- Fax
- (410) 257-3866
- NPI assigned
- Feb 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Reza Aghazadeh Naini, MD
- Title
- Owner Physician
- Phone
- (410) 535-3787
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
110 Hospital Rd
Suite 203
Prince Frederick, MD 20678-4019
Mailing address
110 Hospital Rd
Suite 203
Prince Frederick, MD 20678-4019
Phone (410) 535-3787
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210241200 | Medicaid | MD | |
| 6673 | Other | BLUE SHIELD NCA | |
| 6378RE | Other | MD | BLUE SHIELD |
Other names 1
- Reza Aghazadeh-na-ini PA
National Provider Directory
National Provider DirectoryLocations
23038 Three Notch Rd
California, MD 20619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210291200000",
"number": "1679618136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 HOSPITAL RD",
"address_2": "SUITE 203",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206784019",
"telephone_number": "410-535-3787",
"fax_number": "410-257-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 HOSPITAL RD",
"address_2": "SUITE 203",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206784019",
"telephone_number": "410-535-3787",
"fax_number": "410-257-3866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REZA A NAINI MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2008-05-09",
"status": "A",
"authorized_official_last_name": "NAINI",
"authorized_official_first_name": "REZA",
"authorized_official_middle_name": "AGHAZADEH",
"authorized_official_title_or_position": "OWNER PHYSICIAN",
"authorized_official_telephone_number": "410-535-3787",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "210241200",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD NCA",
"identifier": "6673",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "6378RE",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Reza Aghazadeh-na-ini PA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Prince Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.