Provider Demographics
NPI:1184086639
Name:NAWAZISH, SABA (MD)
Entity type:Individual
Prefix:
First Name:SABA
Middle Name:
Last Name:NAWAZISH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:12086 CLARK ST APT 202
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92557-8667
Mailing Address - Country:US
Mailing Address - Phone:669-246-8588
Mailing Address - Fax:
Practice Address - Street 1:6906 BROCKTON AVE STE 6
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-3802
Practice Address - Country:US
Practice Address - Phone:951-784-8373
Practice Address - Fax:844-897-3788
Is Sole Proprietor?:No
Enumeration Date:2016-03-23
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
CAA165351207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology