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Contact Information

NAZLY M. SHARIATI MD PA
99 BEAUVOIR AVE
SUMMIT, NJ07901-3533
 Phone: 908-273-4949
 Fax: 908-522-6105
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NAZLY M. SHARIATI MD PA

NPI Number 1487717088
LBN Legal business name NAZLY M. SHARIATI MD PA
Authorized official NAZLY SHARIATI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2006
Last updated 03/26/2008 - About 18 years ago
Identifiers
NJ License # 25MA06634100
NJ Medicaid 0053759
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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