NADER REZVAN

BLOOMINGTON, IN
NPI1194888644
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: IN  01023405)
Enumeration Date2006-12-18
Last Update Date2016-05-13
Business Address
-- NADER REZVAN MD
601 W 2ND ST
BLOOMINGTON, IN 47403-2317
Phone number: 866-483-4804
Mailing Address
-- NADER REZVAN MD
2312 N DUNN ST
BLOOMINGTON, IN 47408-1327
Phone number: 866-483-4804