Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 35097583 | OH |
Y | 207RI0011X | Interventional Cardiology | 35097583 | OH |
NPI | 1083828677 |
---|---|
Provider Name | Raja A Nawaz |
First Address | Hamilton, OH 45013-2784 |
Second Address | Hamilton, OH 45013-2784 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 11/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0050762 | (05) | OH |