Individual
IMRAN S. NASIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 BLUEGRASS AVE, HIPS DEPT, LOUISVILLE, KY 40215-1161
(502) 367-3360
(502) 367-3365
Mailing address
100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 40202-1434
(502) 367-3360
(502) 367-3365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40852
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200984650
—
IN
05
—
7100027190
—
KY
Enumeration date
03/13/2007
Last updated
03/21/2018
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