Provider Demographics
NPI:1003093774
Name:NABAVI, CAMERON BRIAN (MD)
Entity type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:BRIAN
Last Name:NABAVI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:262 NEIL AVE STE 430
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-7312
Mailing Address - Country:US
Mailing Address - Phone:614-221-7464
Mailing Address - Fax:614-221-8117
Practice Address - Street 1:262 NEIL AVE STE 430
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-7312
Practice Address - Country:US
Practice Address - Phone:614-221-7464
Practice Address - Fax:614-221-8117
Is Sole Proprietor?:No
Enumeration Date:2008-01-24
Last Update Date:2020-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.099896207W00000X, 207WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery