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Individual

DR. ADNAN NASIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4414 LAKE BOONE TRL, WAKE DERMATOLOGY, SUITE 408, RALEIGH, NC 27607-7513
(919) 781-1001
(919) 781-3909
Mailing address
4414 LAKE BOONE TRL, WAKE DERMATOLOGY, SUITE 408, RALEIGH, NC 27607-7513
(919) 781-1001
(919) 781-3909

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
9601682
NC
207NS0135X
Procedural Dermatology Physician
9601682
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0124885
AETNA GROUP NUMBER
01
02261
BLUE CROSS GROUP NUMBER
NC
01
2284204
AETNA PROVIDER NUMBER
01
2344640
MEDICARE GROUP NUMBER
01
5814729
AETNA PIN NUMBER
Enumeration date
12/02/2006
Last updated
03/19/2010
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