Individual provider · Type 1 NPI
Azadeh Rezvan, MD
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Clackamas, OR
Practice location
10100 SE Sunnyside Rd, Mt Talert Medical Office, Division Of Urogynecology
Clackamas, OR 97015-8970
Mailing address
10100 SE Sunnyside Rd. Mt Talbert Medical Office,, Department Of Ob/gyn, Division Of Urogynecology
Clackamas, OR 97015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Primary | 207VF0040X | MD171989 (OR) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician: A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures nec…
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About NPI 1508022781
Azadeh Rezvan, MD's National Provider Identifier is 1508022781, issued on Aug 6, 2008. The primary taxonomy on file is Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (207VF0040X), and the practice location is in Clackamas, OR. The record was last updated on Aug 25, 2015.