Provider Demographics
NPI:1245429968
Name:BARZAGA HAZRATI, NAILE (MD)
Entity Type:Individual
Prefix:
First Name:NAILE
Middle Name:
Last Name:BARZAGA HAZRATI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NAILE
Other - Middle Name:BARBARA
Other - Last Name:BARZAGA CASTELLANOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4749 W HAROLD AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-9166
Mailing Address - Country:US
Mailing Address - Phone:909-327-8245
Mailing Address - Fax:
Practice Address - Street 1:107 N HALL
Practice Address - Street 2:SUITE C
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291
Practice Address - Country:US
Practice Address - Phone:559-622-8533
Practice Address - Fax:559-622-8744
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-18
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC134032207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine