Individual
NASSEER A MASOODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME90150
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48085Y
PTAN
FL
01
—
AVMED PROVIDER NUMBE
294187
FL
01
—
BCBS PROVIDER NUMBER
48085
FL
05
—
MEDICAID
—
FL
Enumeration date
11/15/2006
Last updated
04/18/2014
Update your record
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