Provider Demographics
NPI:1306846852
Name:ESPHANI, NAZNIN (MD)
Entity Type:Individual
Prefix:DR
First Name:NAZNIN
Middle Name:
Last Name:ESPHANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 W ELDORADO PKWY UNIT 54
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-9402
Mailing Address - Country:US
Mailing Address - Phone:313-848-4819
Mailing Address - Fax:
Practice Address - Street 1:2355 E GRAPEVINE MILLS CIR
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-2047
Practice Address - Country:US
Practice Address - Phone:305-266-2929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-27
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5326207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
7938360OtherAETNA PPO
MD714602700Medicaid
0006OtherCAREFIRST
3867458OtherAETNA PPO
61499701OtherCAREFIRST
7938360OtherAETNA PPO
D146Medicare PIN
P00244161Medicare PIN