Provider Demographics
NPI:1215192083
Name:AZIZI, PARVIN (MD)
Entity type:Individual
Prefix:DR
First Name:PARVIN
Middle Name:
Last Name:AZIZI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 BRIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-4444
Mailing Address - Country:US
Mailing Address - Phone:832-866-7681
Mailing Address - Fax:
Practice Address - Street 1:NEURABILITIES
Practice Address - Street 2:2050 VOORHEES TOWN CENTER
Practice Address - City:VORHEES TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08043
Practice Address - Country:US
Practice Address - Phone:856-346-0005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-22
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD848192084N0402X
CAA142709208000000X, 2084N0400X
NMMD2013-07872084N0400X
NJ25MA110100002084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM800521197Medicare PIN