Individual
KASHIF NASEEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3642 WHEELER RD, AUGUSTA, GA 30909-6519
(706) 496-2573
(706) 496-2637
Mailing address
3642 WHEELER RD, AUGUSTA, GA 30909-6519
(706) 496-2573
(706) 496-2637
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
058109
GA
207R00000X
Internal Medicine Physician
200000916
NC
208M00000X
Hospitalist Physician
058089
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129VU
BCBS
—
01
—
1699762054
BCBS GA
—
05
—
870060696A
—
GA
05
—
89129VU
—
NC
01
—
A935Z
MEDCOST
—
01
—
G58089
SC CAID
—
Enumeration date
09/30/2005
Last updated
07/31/2013
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