Individual
NISARFATHIMA KAZIMUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
421 US 31W BYPASS, BOWLING GREEN, KY 42101
(270) 785-0151
(270) 715-4722
Mailing address
421 US 31W BYPASS, BOWLING GREEN, KY 42101
(270) 785-0151
(270) 715-4722
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
36859
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64044639
—
KY
Enumeration date
07/21/2005
Last updated
04/21/2025
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