Individual
STANLEY A NASRAWAY
Active
Individual
STANLEY A NASRAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01086025A
IN
207R00000X
Internal Medicine Physician
MD19354
RI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01086025A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036.072058
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
78806
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD19354
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
267030216
MEDICARE
IN
05
—
300054139
—
IN
01
—
815500469
MEDICARE
IN
01
—
Q00403960
RAILROAD PTAN
IN
Enumeration date
08/30/2006
Last updated
03/26/2024
Update your record
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