Provider Demographics
NPI:1407866940
Name:HAZZIEZ, RABIYYAH H (DC)
Entity Type:Individual
Prefix:DR
First Name:RABIYYAH
Middle Name:H
Last Name:HAZZIEZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6767 W TROPICANA AVE STE 222
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-4760
Mailing Address - Country:US
Mailing Address - Phone:702-248-1072
Mailing Address - Fax:
Practice Address - Street 1:6767 W TROPICANA AVE STE 222
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-4760
Practice Address - Country:US
Practice Address - Phone:702-248-1072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB-01399111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK0155349OtherCIGNA
OK431891017OtherHEALTH CHOICE
OK431891017OtherHEALTH CHOICE
OK0155349OtherCIGNA