Individual provider · Type 1 NPI

Shahrzad Rezvani, DDS

Student in an Organized Health Care Education/Training Program · Birmingham, AL

NPI number 1417834557 Active

Practice location

1919 7th Avenue South, Sdb 320
Birmingham, AL 35233-2005

Fax (205) 975-4431

Mailing address

1720 2nd Avenue South, Sdb 315
Birmingham, AL 35294-0007

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417834557

Shahrzad Rezvani, DDS's National Provider Identifier is 1417834557, issued on Aug 20, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Birmingham, AL. The record was last updated on Aug 20, 2025.