MR. SEYED MAHMOUD NABAVI (NPI# 1588817605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588817605 |
| Entity Type | Individual |
| Full Name | MR. SEYED MAHMOUD NABAVI |
| Other Name | MR. SEYED MAHMOUD NABAVI |
| Credential | PA |
| Practice Address |
4901 W 79th St Burbank IL 60459-1554 |
| Practice Telephone | 7084991545 |
| Mailing Telephone | 7084991545 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2015-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085004504 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4901 W 79TH ST |
| City | BURBANK |
| State | IL |
| Zip Code | 60459-1554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861487423 | Andrea D. Jones | Obstetrics & Gynecology | 4901 W 79th St, Suite 10, Burbank, IL 60459-1554 | 2005-09-20 |
| 1538540877 | Advocate Health & Hospital Co | Hospice Care, Community Based | 4901 W 79th St, 2nd Floor, Burbank, IL 60459-1554 | 2015-06-12 |
| 1952724312 | Cristine S. Williams | Dietitian, Registered | 4901 W 79th St, 2nd Floor, Burbank, IL 60459-1554 | 2014-01-21 |
| 1073950622 | Lisa Garland | Internal Medicine | 4901 W 79th St, 2nd Floor, Burbank, IL 60459-1554 | 2013-05-22 |
| 1275827701 | Dave Bolger | Family Medicine | 4901 W 79th St, 2nd Floor, Burbank, IL 60459-1554 | 2011-06-01 |
| 1962630178 | Naveen Abraham | Family Medicine | 4901 W 79th St, Burbank, IL 60459-1554 | 2009-06-25 |
| 1750536082 | Diane Marie Brooks | Physician Assistant | 4901 W 79th St, Burbank, IL 60459-1554 | 2008-12-01 |
| 1376705772 | Joyce Chen | Family Medicine | 4901 W 79th St, Suite 10, Burbank, IL 60459-1554 | 2008-06-26 |
| 1780858027 | Drs Wang M.d.s.c | Allergy & Immunology | 4901 W 79th St, Burbank, IL 60459-1554 | 2008-04-17 |
| 1912105057 | Stephen Issac Johnson | Family Medicine | 4901 W 79th St, Suite 10, Burbank, IL 60459-1554 | 2007-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619475852 | Albina Optometric | Optometrist | The Eye Care Center, Ltd, 8525 S Harlem Ave, Burbank, IL 60459 | 2018-01-23 |
| 1265943583 | Sara Christine De Van | Speech-Language Pathologist | 7600 South Mason Avenue, Burbank, IL 60459 | 2017-10-13 |
| 1710426465 | Nikki Negrete | Specialist/Technologist | 8520 S. Leclaire Ave., Burbank, IL 60459 | 2017-02-14 |
| 1700335734 | Sheefa Pharmacy Inc. | Pharmacy | 8519 S Harlem Avenue, Burbank, IL 60459 | 2016-10-03 |
| 1518325695 | Orthodontic Experts | Dentist | 7820 S. Cicero Ave, Burbank, IL 60459 | 2016-02-04 |
| 1528438306 | Lila Ayyad-alharsha | Behavioral Analyst | 6146 W. State Rd., Burbank, IL 60459 | 2015-10-06 |
| 1467852483 | Chicago Counseling & Training, Inc | Counselor | 4817 W. 83rd Street, Burbank Medical Center, Burbank, IL 60459 | 2014-08-27 |
| 1629344247 | Michael Joseph Fary | Optometrist | 7708 S Cicero Ave, Suite A5, Burbank, IL 60459 | 2012-03-28 |
| 1265732176 | Syeda Kulsoom Ali | Family Medicine | 4901 W 79th St Floor 2, Burbank, IL 60459 | 2010-10-26 |
| 1114119781 | Bonnes and Vasquez, P.C. | Social Worker | 13152 S. Cicero Ave, Pmb 260, Crestwood, IL 60459 | 2007-08-16 |
| Find all providers in zip 60459 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235492299 | Mason Devon | Physician Assistant | 501 S Buena Vista St Dept 1n, Burbank, CA 91505-4809 | 2012-06-24 |
| 1780869487 | Leslie Hartman | Physician Assistant | 2550 N Hollywood Way Ste 204, Burbank, CA 91505-5040 | 2008-01-02 |
| 1962968032 | Elaine L Chen | Physician Assistant | 1218 W Olive Ave, Burbank, CA 91506-2216 | 2019-02-14 |
| 1497283360 | Telly Dane Arispe | Physician Assistant | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2017-05-23 |
| 1265732648 | Ana Milena Becerra | Physician Assistant | 303 S Glenoaks Blvd Ste 4, Burbank, CA 91502-1193 | 2010-11-01 |
| 1376735126 | Mandy Marie Metzger | Physician Assistant | 191 S Buena Vista St, #470, Burbank, CA 91505-4554 | 2007-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707298 | Eliza Ballen | Physician Assistant | 335 Sylvan Rd, Lake Bluff, IL 60044-2562 | 2020-07-21 |
| 1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
| 1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.