Individual
TABASSUM Y NAFSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104
(779) 696-6102
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
(779) 696-7342
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT189741
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
36.124214
OH
207RP1001X
Pulmonary Disease Physician
Primary
036-124710
IL
207RP1001X
Pulmonary Disease Physician
36.124214
OH
Other
Enumeration date
09/17/2007
Last updated
03/01/2023
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