Provider Demographics
NPI:1780016329
Name:ZURI, NAZANIN (MD)
Entity Type:Individual
Prefix:DR
First Name:NAZANIN
Middle Name:
Last Name:ZURI
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 1:601 N 30TH ST STE 6720
Mailing Address - Street 2:CREIGHTON UNIVERSITY SCHOOL OF MEDICINE, FAMILY MEDICIN
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2137
Mailing Address - Country:US
Mailing Address - Phone:402-206-6124
Mailing Address - Fax:
Practice Address - Street 1:601 N 30TH ST STE 6720
Practice Address - Street 2:CREIGHTON UNIVERSITY SCHOOL OF MEDICINE, FAMILY MEDICIN
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2137
Practice Address - Country:US
Practice Address - Phone:402-206-6124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE7034207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE924439778OtherUNITEDHEALTHCARE