Provider Demographics
NPI:1407950777
Name:NABI, IRAJ (MD)
Entity Type:Individual
Prefix:
First Name:IRAJ
Middle Name:
Last Name:NABI
Suffix:
Gender:M
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:PO BOX 254560
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95865-4560
Mailing Address - Country:US
Mailing Address - Phone:916-924-1400
Mailing Address - Fax:916-924-1500
Practice Address - Street 1:87 SCRIPPS DR STE 206
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6381
Practice Address - Country:US
Practice Address - Phone:916-924-1400
Practice Address - Fax:916-924-1500
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-08
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA36021208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0163513OtherCIGNA
CA15564OtherFIRST HEALTH
CA2622397OtherUNITED HEALTHCARE
CAA36021OtherBLUE CROSS
CA18951OtherGREAT WEST
CA4296352OtherAETNA
CA13668OtherINTERPLAN
CA012083OtherHEALTH NET
CA90015970OtherPACIFICARE
CAMCMG170600OtherWESTERN HEALTH ADVANTAGE
CA000810353493OtherPHCS
CA15564OtherFIRST HEALTH
A27969Medicare UPIN