# DR. AYESHA NAZLI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093922197
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101239912 | VA | Yes |
| 207Q00000X | Family Medicine Physician | 22742 | WV | — |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 12/27/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000056944U | HUMANA | WV |
| 01 | — | 001969694 | MOUNTAIN STATE BLUE CROSS | WV |
| 05 | — | 3810009211 | — | WV |
| 01 | — | P00401503 | RAILROAD MEDICARE PIN | WV |