Organization Active NPI

Reza a Naini MD PA

  • Obstetrics & Gynecology Physician
  • Prince Frederick, MD
National Provider Identifier
1679618136
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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

Updated by the provider on May 9, 2008

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
210241200MedicaidMD
6673OtherBLUE SHIELD NCA
6378REOtherMDBLUE SHIELD

Other names 1

  • Reza Aghazadeh-na-ini PA Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.