Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shiva Rezvanian, MD

Individual provider Internal Medicine Physician · NPI 1043421811

Dr. Shiva Rezvanian, MD is an Internal Medicine Physician in Phillipsburg, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone: (908) 835-1910
Fax: (908) 835-1886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence N-A (NJ)

Record details

NPI number1043421811
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2007
Last updated in NPPESNovember 29, 2021

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