Provider Demographics
NPI:1861475469
Name:RAZVI, NIGHET S (MD)
Entity Type:Individual
Prefix:DR
First Name:NIGHET
Middle Name:S
Last Name:RAZVI
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 1:2368 EASTCLEFT DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-1852
Mailing Address - Country:US
Mailing Address - Phone:614-457-4577
Mailing Address - Fax:
Practice Address - Street 1:2368 EASTCLEFT DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-1852
Practice Address - Country:US
Practice Address - Phone:614-457-4577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-07-5698207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2111502Medicaid
OHG91931Medicare UPIN
OHRA0871362Medicare ID - Type Unspecified