Provider Demographics
NPI:1609464809
Name:NABIZADEH, NAVEED (MD)
Entity Type:Individual
Prefix:DR
First Name:NAVEED
Middle Name:
Last Name:NABIZADEH
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 1:1160 MANHEIM PIKE STE 200
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-3127
Mailing Address - Country:US
Mailing Address - Phone:717-735-1972
Mailing Address - Fax:717-735-2004
Practice Address - Street 1:8105 ADAMS DR STE C
Practice Address - Street 2:
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036-8625
Practice Address - Country:US
Practice Address - Phone:717-988-9032
Practice Address - Fax:717-221-5375
Is Sole Proprietor?:No
Enumeration Date:2021-01-04
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYFT619207XS0117X
PAMD479348207XS0117X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine