Individual
MUJAHID A NASIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1311 RING RD, STE 101, ELIZABETHTOWN, KY 42701-8941
(270) 900-4555
(270) 900-4636
Mailing address
1321 RING RD, STE 105, ELIZABETHTOWN, KY 42701-8940
(270) 986-7373
(270) 900-4636
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39436
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64105539
—
KY
Enumeration date
11/22/2005
Last updated
04/26/2017
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