RAUF SHAHBAZOV (NPI# 1730569633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730569633 |
| Entity Type | Individual |
| Full Name | RAUF SHAHBAZOV |
| Credential | MD |
| Practice Address |
750 East Adams St Suite 2w Syracuse NY 13210 |
| Mailing Address |
251 Salina Meadows Pkwy Ste 100 Syracuse NY 13212 |
| Practice Telephone | 3154649535 |
| Practice Fax Number | 3154646288 |
| Mailing Telephone | 3154642000 |
| Mailing Fax Number | 3154642010 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2018-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | 293587 | NY | Allopathic & Osteopathic Physicians |
| N | 204F00000X | Transplant Surgery | 0116027734 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1730569633 | 05 |
| Street Address |
750 EAST ADAMS ST SUITE 2W |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780682336 | Gary Randall Green | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 750 East Adams St, Syracuse, NY 13210 | 2005-07-08 |
| 1790326262 | Hannah Christine Schaly | Physician Assistant | 750 East Adams St, Er Dept., Syracuse, NY 13210-2306 | 2019-10-04 |
| 1518427822 | Eamonn John Murphy | Pharmacist | 750 East Adams St, Pharmacy, Syracuse, NY 13210 | 2019-03-22 |
| 1164905295 | Christina Nicolais | Psychologist | 750 East Adams St, Syracuse, NY 13210 | 2018-09-14 |
| 1861984239 | Zachary Aaron Miller | Physician Assistant | 750 East Adams St, Syracuse, NY 13210-2306 | 2018-06-01 |
| 1134620354 | Lisa M Fiorini | Nurse Practitioner | 750 East Adams St, Syracuse, NY 13210-2306 | 2018-02-22 |
| 1821529751 | Gregory K Sun | Emergency Medicine | 750 East Adams St, Syracuse, NY 13210 | 2017-03-22 |
| 1356705537 | Jennalee Cizenski | Emergency Medicine | 750 East Adams St, Syracuse, NY 13210 | 2016-04-13 |
| 1801281688 | Ian Felipe Gallegos Dargon | Internal Medicine | 750 East Adams St, Syracuse, NY 13210 | 2015-03-30 |
| 1477971497 | Kimberly Rush | Pediatrics | 750 East Adams St, Syracuse, NY 13210 | 2014-04-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922200062 | Zeki Acun | Transplant Surgery | 750 East Adams St Ste 2w, Syracuse, NY 13210 | 2007-06-01 |
| 1497191423 | Matthew J Hanlon | Transplant Surgery | 750 East Adams St, Syracuse, NY 13210 | 2013-05-16 |
| 1982866513 | Vaughn Easton Whittaker | Transplant Surgery | 750 East Adams St, Ste 2w, Syracuse, NY 13210 | 2008-06-25 |
| 1861606634 | Kamran Khanmoradi | Transplant Surgery | 750 East Adams St, Suite 2w, Syracuse, NY 13210 | 2007-05-10 |
| 1487725917 | Rainer W Gruessner | Transplant Surgery | 750 East Adams St, Ste 2w, Syracuse, NY 13210 | 2006-11-13 |
| 1023124013 | Fauzia Khalid Butt | Transplant Surgery | 750 East Adams St, Suite 2w, Syracuse, NY 12310 | 2006-08-22 |
| 1770515215 | Reza F Saidi | Transplant Surgery | 750 East Adams St, Suite 2w, Syracuse, NY 13210 | 2006-07-07 |
| 1629028170 | Dilip S Kittur | Transplant Surgery | 750 E Adams St, Syracuse, NY 13210-2306 | 2006-05-12 |
| 1093765448 | Mark R Laftavi | Transplant Surgery | 750 East Adams St, Syracuse, NY 13210 | 2006-05-10 |
| 1346223567 | Amy L Friedman | Transplant Surgery | 750 E Adams St, Syracuse, NY 13210-2306 | 2005-11-22 |
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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.