Individual
DR. IQBAL NASIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18161 W 13 MILE RD, SUITE D4, SOUTHFIELD, MI 48076-1113
(248) 901-1111
(248) 901-4444
Mailing address
18161 W 13 MILE RD, SUITE D4, SOUTHFIELD, MI 48076-1113
(248) 901-1111
(248) 901-4444
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
4301039377
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1706324172
BCBS
MI
01
—
412147084
TAX ID
MI
Enumeration date
09/28/2006
Last updated
09/23/2015
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