Individual
ATIF NASRULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 MARK DR, EDENTON, NC 27932-1756
(252) 482-5171
Mailing address
104 MARK DR, EDENTON, NC 27932-1756
(252) 482-5171
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2025-00687
NC
390200000X
Student in an Organized Health Care Education/Training Program
MT224569
PA
Other
Enumeration date
09/07/2021
Last updated
08/28/2025
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