Individual
MAHMOOD NASIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
512 MARKET ST, SUNBURY, PA 17801-2338
(570) 286-9878
(570) 286-9848
Mailing address
512 MARKET ST, SUNBURY, PA 17801-2338
(570) 286-9878
(570) 286-9848
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD039921Y
PA
2084N0600X
Clinical Neurophysiology Physician
MD039921Y
PA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
MD039921Y
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012780720003
PA MEDICAL ASSISTANCE
—
01
—
01076501
CAPITAL BLUE CROSS
—
01
—
043863
PA BLUE SHIELD
PA
01
—
043863
KEYSTONE
—
01
—
130008812
RAILROAD MEDICARE
—
01
—
205802
BLACK LUNG
—
01
—
232750024
TRICARE
—
01
—
5057095
AETNA
PA
01
—
7043863
GATEWAY
PA
01
—
J43863
AMERIHEALTH
—
01
—
MD039921Y
PA LICENSE
—
Enumeration date
11/29/2005
Last updated
10/07/2014
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