Provider Demographics
NPI:1700065265
Name:ZENOOZ, NAVID ALIYARI (MD)
Entity Type:Individual
Prefix:DR
First Name:NAVID
Middle Name:ALIYARI
Last Name:ZENOOZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:NAVID
Other - Middle Name:
Other - Last Name:ALIYARI ZENOOZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:150 MUIR RD # 114A
Mailing Address - Street 2:DEPARTMENT OF RADIOLOGY
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-4668
Mailing Address - Country:US
Mailing Address - Phone:925-372-2751
Mailing Address - Fax:
Practice Address - Street 1:150 MUIR RD # 114A
Practice Address - Street 2:DEPARTMENT OF RADIOLOGY
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-4668
Practice Address - Country:US
Practice Address - Phone:925-372-2751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-31
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0908142085R0202X
CAA 1074292085R0202X, 2085R0202X
GA641002085R0202X
ALMD.315582085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology