Provider Demographics
NPI:1770527434
Name:NAZ, ROOBILA (MD)
Entity type:Individual
Prefix:
First Name:ROOBILA
Middle Name:
Last Name:NAZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9012 WILDBERRY CT
Mailing Address - Street 2:
Mailing Address - City:BOONSBORO
Mailing Address - State:MD
Mailing Address - Zip Code:21713-1860
Mailing Address - Country:US
Mailing Address - Phone:972-352-3680
Mailing Address - Fax:304-262-1307
Practice Address - Street 1:510 BUTLER AVE
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25405-9991
Practice Address - Country:US
Practice Address - Phone:304-263-0811
Practice Address - Fax:304-262-1307
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2022-05-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM1259207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX177782305Medicaid
TX177782305Medicaid
H43363Medicare UPIN