Most Relevant Information
Provider Data
| NPI Number: | 1003376161 |
| Provider Name: | NIEMA BRANDON RAZAVIAN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0001X |
| Specialty: | Radiology |
| License Number: | ME169198 |
Most Important Dates
| Enumeration Date: | 03/23/2019 |
| Last Updated: | 07/11/2024 |
Provider Practice Location
12902 USF MAGNOLIA DR
TAMPA
FL
336129416
Practice Location Phone/Fax
| Phone: | 8886633488 |
| Fax: |
Provider Mailing Location
12902 USF MAGNOLIA DR
TAMPA
FL
336129416
Provider Mailing Phone/Fax
| Phone: | 8886633488 |
| Fax: |