Individual
ARIF NAZIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 CRISTLAND RD, LOUISVILLE, KY 40214-4150
(502) 367-0140
(502) 368-5208
Mailing address
12201 BLUEGRASS PKWY, STE 130 - PROVIDER ENROLLMENT, LOUISVILLE, KY 40299-2361
(502) 568-7364
(502) 568-7136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49556
KY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
49556
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200874940
—
IN
05
—
4462980
—
MI
Enumeration date
08/29/2005
Last updated
11/02/2016
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